Acute hepatitis

Case contributed by Dr Mark Hall

Presentation

Intravenous drug user attending with painless jaundice and hepatomegaly. Previous deep vein thrombosis. Deranged LFTs ?thrombus ?malignancy.

Patient Data

Age: 30 years
Gender: Female
MRI

There is severe gallbladder wall T2 hyperintensity in keeping with oedema, which compresses the mucosa of the gallbladder. 

Cystic duct, CBD pancreatic duct are within normal limits with no obstructing lesions seen.
Marked high T2 signal is also demonstrated within the periportal spaces consistent with oedema.

Liver also appears slightly enlarged with recanalisation of the umbilical vein noted.  
Overall findings suggestive of acute hepatitis and could account for the markedly deranged LFTs.

Case Discussion

This case demonstrates markedly abnormal gallbladder wall and periportal oedema with a normal CBD. Appearances suggest an acute hepatitis. Full viral hepatitis screen was carried out and found to be negative. The patient then absconded from the ward.

PlayAdd to Share

Case information

rID: 51456
Case created: 16th Feb 2017
Last edited: 16th Feb 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.