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    A Rare Complication Due To Acute Viral Hepatitis A: Acute Cholecystitis
    (Galenos Yayincilik, 2007) Kayabas, Uner; Bayindir, Yasar; Okuyan, M. Kemal
    Hepatitis A virus-associated acute acalculous cholecystitis is a rare complication. A fifteen-year-old male was admitted with the complaints of ongoing weakness, anorexia, nausea, myalgia, arthralgia, paleness in stool, dark urine and abdominal pain lasting a week. Physical examination revealed a positive Murphy's sign and, icterus on skin and sclera. Laboratory examination revealed an aspartate aminotransferase of 1095 U/L, an alanine aminotransferase of 1645 U/L, total bilirubin of 4.0 mg/dL, direct bilirubin of 2.2 mg/dL, and a CRP of 6 mg/dL. Abdominal sonography revealed gallbladder thickening (high to 7.1 mm) and the positive sonographic Murphy's sign. HBsAg, anti-HBc-IgM and aAnti-HCV were determined negative, whereas anti-HAV-IgM was determined positive, through ELISA. The patient was hospitalized with the diagnosis of acute cholecystitis due to acute viral hepatitis A. No antibiotic therapy was administered. There was no pathological sign on abdominal sonography after 14 days.