Acute hepatitis

Case contributed by Dr Mostafa El-Feky

Presentation

Jaundice, fever, abdominal pain and vomiting.

Patient Data

Age: 20 years
Gender: Female
CT

The liver is mildly enlarged associated with periportal edema.

Diffuse gallbladder wall thickening with no hyperdense luminal foci.

Mild ascites is noted at Morrison's pouch and the pelvis.

Case Discussion

The diagnosis of acute hepatitis is usually made on a clinical and laboratory basis. The ultrasound and other imaging modalities can show changes which are nonspecific but can aid in diagnostic confidence.

Hepatomegaly is the most sensitive sign. Periportal edema and diffuse gallbladder wall thickening are also present, noting the latter is nonspecific with a wide differential diagnosis.

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Case information

rID: 46187
Published: 8th Nov 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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