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[Perforated acute acalculous cholecystitis caused by hepatitis A]
Pedja Cuk1, Mozammil Iqbal, Jakob Lykke
1, Allén 32, 1. tv., 2770 Kastrup. pedjacuk@msn.com.
Ugeskrift for Laeger
|October 30, 2014
Summary
Hepatitis A infection can cause severe gallbladder inflammation (acute acalculous cholecystitis) leading to perforation. This rare complication requires prompt surgical intervention for gallbladder removal.
Area of Science:
- Gastroenterology
- Hepatology
- Surgical Pathology
Background:
- Acute acalculous cholecystitis is a rare gallbladder inflammation without stones, carrying significant risks of gangrene, empyema, and perforation.
- Hepatitis A infection is typically a self-limiting liver disease, but rare complications can occur.
Observation:
- A patient presented with jaundice and markedly elevated liver enzymes, indicative of hepatitis.
- Magnetic resonance cholangiopancreatography revealed an acalculous gallbladder with surrounding free fluid, suggesting perforation.
Findings:
- The case report details a rare instance where Hepatitis A infection precipitated fulminant perforated acute acalculous cholecystitis.
- Laparoscopic cholecystectomy was performed due to the high suspicion of a perforated gallbladder.
Implications:
- This case highlights a potentially life-threatening, albeit rare, complication of Hepatitis A infection.
- Early recognition and surgical management are crucial for patients presenting with symptoms suggestive of perforated acute acalculous cholecystitis secondary to viral hepatitis.
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