Abstract:
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 chil-
dren. The article provides a brief illustration of evaluating acute abdominal
pain in older children in the emergency department in a developing country