title: Acute acalculous cholecystitis due to dengue hemorrhagic fever during pregnancy.
abstract: A 29-year-old pregnant woman presented with fever, right hypochondrial pain and fatigability at 29 weeks of gestation. Dengue hemorrhagic fever was diagnosed based on clinical, hematological and serological features. However, ultrasound scanning was suggestive of acute acalculous cholecystitis. The patient was managed symptomatically and made a good recovery 8 days following onset of fever. This is the first case of acute acalculous cholecystitis coinciding with dengue hemorrhagic fever reported during pregnancy from an endemic country in Asia. The possible viral and host factors for the development of such a severe form of disease and preventive measures are discussed.
authors.affiliation: Department of Obstetrics and Gynaecology, Colombo South Teaching Hospital, Kalubowila, Sri Lanka. jeevanmarasinghe@yahoo.com
authors.forename: Jeevan P
authors.initials: JP
authors.lastname: Marasinghe
authors.forename: Radhika Y
authors.initials: RY
authors.lastname: Sriyasinghe
authors.forename: Vidyani I
authors.initials: VI
authors.lastname: Wijewantha
authors.forename: Kumbalathara A R C W
authors.initials: KA
authors.lastname: Gunaratne
authors.forename: Chandrika N
authors.initials: CN
authors.lastname: Wijeyaratne
mesh_terms: D042101:Acalculous Cholecystitis / Q000175:diagnosis / Q000209:etiology*; D000328:Adult; D041881:Cholecystitis, Acute / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis*; D019595:Severe Dengue / Q000150:complications* / Q000175:diagnosis