Acute hepatitis

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Jaundice, fever, abdominal pain and vomiting.

Patient Data

Age: 20
Gender: Female
CT

The liver is mildly enlarged associated with periportal edema. Diffuse gallbladder wall thickening with no hyperdense luminal foci.

Mild ascites is noted in Morison's pouch and in the pelvis.

Case Discussion

The diagnosis of acute hepatitis is usually made on a clinical and laboratory basis. US and other imaging modalities can show changes which are nonspecific but can aid in diagnostic confidence.

Hepatomegaly is the most sensitive sign. Periportal oedema and diffuse gallbladder wall thickening, noting the latter is nonspecific with a wide differential diagnosis.

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Case information

rID: 46187
Case created: 25th Jun 2016
Last edited: 12th Nov 2016
Inclusion in quiz mode: Included

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