Acute hepatitis

Case contributed by Dr Sami Elhinnawi

Presentation

Right hypochondrial pain, fever, malaise and jaundice.

Patient Data

Age: 20 years
Gender: Female
Ultrasound

The gall bladder is collapsed and shows diffuse striking wall edema with no evidence of cholelithiasis.

No evidence of biliary obstruction.

There are multiple enlarged lymph nodes seen at the porta hepatis.

Case Discussion

Diffuse gall bladder wall edema in the absence of cholelithiasis in a patient complaining of abdominal pain and jaundice should raise the possibility of acute hepatitis.

The laboratory findings in this patient were raised liver functions and positive hepatitis A markers.

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Case information

rID: 55628
Case created: 18th Sep 2017
Last edited: 21st Sep 2017
Inclusion in quiz mode: Included
Institution: Misr International Hospital

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