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SM Journal of Radiology

Acute Acalculous Cholecystitis Due to Viral Hepatitis B: A Case Report

[ ISSN : 3067-9702 ]

Abstract
Details

Received: 31-Jul-2017

Accepted: 18-Aug-2017

Published: 21-Aug-2017

Case Report | Volume 3 - Issue 1 | Article DOI :

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Omer A Mahmoud¹, Mustafa Z Mahmoud²* and Maram A Fagiri²

¹Medical Ultrasound Imaging Department, Dr. Mohamed Abdel Mageed Ali Medical Complex, Alnohood, Sudan
²Radiology and Medical Imaging Department, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia

Corresponding Author:

Mustafa Z Mahmoud, Radiology and Medical Imaging Department, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, PO Box 422, Al-Kharj 11942, Saudi Arabia; Tel: 00966115886331; Fax: 00966115886301; Email: m.alhassen@psau.edu.sa

Keywords

Cholecystitis; Hepatitis B; Aminotransferase

Abstract

Hepatitis B is a potentially life threatening liver infection caused by the Hepatitis B Virus (HBV). It is a major global health problem. It is not possible, on clinical grounds, to differentiate HBV from hepatitis caused by other viral agents and, hence, laboratory confirmation of the diagnosis is essential. Sonographically, gallbladder f indings of increased wall thickness and pericholecystic edema are very common. It can be used as auxiliary f indings in case of acute viral hepatitis; especially when serological testing facility is not available it can back up in the diagnosis. A twelve year old Sudanese male, developed classic symptoms of acute HBV. In the emergency department, he presents with nausea for 9 days accompanied by vomiting, anorexia, fatigue, mild upper abdominal pain, loss of appetite, jaundice with pale stool, and dark urine. Laboratory investigation revealed an increased level of White Blood Cells (WBC), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), and total serum bilirubin. Serological testing was positive for the Hepatitis B (HB) Surface Antigen (HBsAg), HB e Antigen (HBeAg), and anti-HBc (both IgM and IgG). Abdominal ultrasound revealed marked edematous gallbladder wall thickening. Also, gallbladder hyperemia was detected by Doppler ultrasonography. The patient received his initial HB vaccinations and was discharged with considerable improvement in biochemical tests. Gall bladder findings on ultrasound can be used to diagnose acute HBV when serological tests are not available.

Citation

Mahmoud OA, Mahmoud MZ and Fagiri MA. Acute Acalculous Cholecystitis Due to Viral Hepatitis B: A Case Report. SM J Radiol. 2017; 3(1): 1012.