Unusual cause of abdominal pain in pediatric emergency medicine.
Atypical manifestations of acute hepatitis A virus (HAV) infection include ascites, pleural effusion, acute renal failure, aplastic anemia, and neurological manifestations. Although association of HAV and acute cholecystitis is known, presentation of hepatitis A infection with acute cholecystitis has not been reported in pediatric emergency medicine literature. Primary acute acalculous cholecystitis in children is rare and commonly attributed to systemic infections. We report a case of a child developing acute viral cholecystitis as a presenting feature of sporadic HAV infection and review HAV-associated cholecystitis in children. The article provides a brief illustration of evaluating acute abdominal pain in older children in the emergency department in a developing country.
Jawaharlal Nehru Medical College, KLE University, Nehru Nagar, Belgaum, Karnataka, India. dr.prashanth.gp@gmail.com
Gowda Parameshwar
GP
Prashanth
Budensab H
BH
Angadi
Suhas N
SN
Joshi
Praveen S
PS
Bagalkot
Mahesh B
MB
Maralihalli
D015746:Abdominal Pain / Q000821:virology*; D002648:Child; D041881:Cholecystitis, Acute / Q000821:virology*; D003906:Developing Countries; D004630:Emergencies; D019353:Endemic Diseases; D005260:Female; D006506:Hepatitis A / Q000150:complications* / Q000453:epidemiology; D006801:Humans; D007194:India / Q000453:epidemiology