Title: Acalculous Cholecystitis as a Presentation of Acute Hepatitis B
Authors: Syed Haider Mehdi Husaini, Syed Hasan Amir
DOI: http://dx.doi.org/10.18535/jmscr/v4i9.45
Acalculous cholecystitis (ACC) as commonly understood, is an inflammation of the gall bladder in the absence of stones. Acute viral hepatitis B though being a systemic infection, predominantly affects the liver but also produces changes in the function, as well as anatomy of the gall bladder. Acute viral hepatitis B presenting as ACC is not common and has been reported only in a few cases. We here report case of a 40yr old female patient who presented with ACC associated with jaundice and was later diagnosed to have acute hepatitis B. She was placed on conservative treatment only and recovered completely in a week’s time. Keywords: Acalculous cholecystitis, acute hepatitis B. 1. Maresca G, De Gaetano AM, Mirk P, et al. Sonographic patterns of the gallbladder in acute viral hepatitis. J Clin Ultrasound. 1984; 12: 141-6. 2. Sharma MP, Dasarathy S. Gallbladder abnormalities in acute viral hepatitis: a prospective ultrasound evaluation. J Clin Gastroenterol. 1991; 13: 697-700. 3. Giorgio A, Francica G, Amoroso P, et al. Morphologic and motility changes of the gallbladder in response to acute liver injury. A prospective real-time sonographic study in 255 patients with acute viral hepatitis. J Ultrasound Med. 1989; 8(9): 499-506. 4. Portincasa P, Moschetta A, Di Ciaula A, et al. Changes of gallbladder and gastric dynamics in patientsmwith acute hepatitis. Eur J Clin Invest. 2001; 31: 617-22. 5. Zivković R, Trajer A. Ultrasound diagnosis of acute viral hepatitis. Acta Med Croatica. 1998; 52: 109-13. 6. Mirvis SE, Vainright JR, Nelson AW, et al. The diagnosis of acute acalculous cholecystitis: a comparison of sonography, scintigraphy, and CT. AJR Am J Roentgenol. 1986; 147: 1171-5. 7. Unal H, Korkmaz M, Kirbas I, Selcuk H, Yilmaz U. ACC associated with acute viral hepatitis B infection. Int J Infect Dis. 2009 ;13:310-2. 8. Riyadh Ali Muhammad, Wisam Ghadban, Osama Muhammad.ACC induced by acute viral hepatitis B.Case Reports in Hepatology Volume 2012 (2012), Article ID 132345, 4 pages. 9. Edge SB, Byrd DR, Compton CC, et al. AJCC cancer staging manual. New York: Springer; 2009. 10. Zepeda-Gomez S, Baron TH. Benign biliary strictures: Current endoscopic management. Nat Rev Gastroenterol Hepatol 2011; 8:573-81 11. Choudhary A, Bechtold ML, Arif M, et al.Pancreatic stents for prophylaxis against post ERCP pancreatitis: A meta-analysis and systemic review. Gastrointest Endosc 2011; 73:275-82. 12. Glenn F, Becker CG. Acute acalculous cholecystitis. An increasing entity. Ann Surg. 1982; 195: 131-136. 13. Juttner HU, Ralls PW, Quinn MF, et al. Thickening of the gallbladder wall in acute hepatitis: ultrasound demonstration. Radiology. 1982; 142: 465. 14. Dogra R, Singh J, Sharma MP. Enterically transmitted non-A, non-B hepatitis mimicking acute cholecystitis. Am J Gastroenterol. 1995; 90: 764. Abstract
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