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Related Experiment Videos

[Acute cholecystitis disclosing A virus hepatitis].

M Hermier, B Descos, J P Collet

    Archives Francaises De Pediatrie
    |August 1, 1985
    PubMed
    Summary

    Hepatitis A virus (HAV) infection in children can mimic acute cholecystitis, presenting with abdominal pain and jaundice. Ultrasonography revealed gallbladder abnormalities, prompting discussion on initial acute cholecystitis.

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    Area of Science:

    • Pediatric Gastroenterology
    • Hepatology
    • Diagnostic Imaging

    Background:

    • Hepatitis A virus (HAV) infection is a common cause of acute viral hepatitis in children.
    • Acute cholecystitis is inflammation of the gallbladder, typically presenting with right upper quadrant pain, fever, and jaundice.
    • Distinguishing between HAV hepatitis and acute cholecystitis can be challenging clinically and sonographically.

    Observation:

    • Three pediatric patients with HAV hepatitis presented with symptoms and signs mimicking acute cholecystitis.
    • Clinical presentation included right hypochondrium pain, fever, and delayed jaundice.
    • Ultrasonographic findings suggestive of acute cholecystitis were observed in all three cases.

    Findings:

    • Gallbladder wall thickening (>10 mm) was noted in all three patients.
    • A layered appearance of the gallbladder wall (2-3 echogenic layers) was present in all three.
    • An ultrasonographic Murphy's sign was positive in one patient, and echogenic gallbladder contents were seen in one.

    Implications:

    • The findings suggest that HAV hepatitis can present with ultrasonographic features indistinguishable from acute cholecystitis in children.
    • This highlights the importance of considering viral hepatitis in the differential diagnosis of pediatric acute abdominal conditions.
    • Further investigation into the specific sonographic markers differentiating HAV hepatitis from true cholecystitis is warranted.

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