Unusual Imaging findings in a Child with Acute Hepatitis A Infection
Main Article Content
Abstract
Hepatitis A infection in children generally presents with mild, self-limiting symptoms. Extrahepatic manifestations, such as acute renal injury, are rarely reported in non-fulminant hepatitis A. We present a case of a 14-year-old girl with non-fulminant hepatitis A infection, who was incidentally detected with a left adnexal mass during routine ultrasound imaging. Further evaluation with MRI unexpectedly revealed findings suggestive of acute pyelonephritis, contrary to the typical presentation of hepatitis A.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Under Creative Commons the Authors retain ownership of the copyright for their content. The authors assign exclusive commercial re-use rights of the article to the Journal.
All open access articles published are distributed under the terms of the CC BY-NC 4.0 license (Creative Commons Attribution-Non-Commercial 4.0 International Public License as currently displayed at http://creativecommons.org/licenses/by-nc/4.0/legalcode) which permits unrestricted use, distribution, and reproduction in any medium, for non-commercial purposes, provided the original work is properly cited.
Authors agree to the open access publication policy of the Journal.
References
Amarapurkar DN, Amarapurkar AD. Extrahepatic manifestations of viral hepatitis. Ann Hepatol. 2002;1(4):192–5.
Eng C, Chopra S. Acute renal failure in nonfulminant hepatitis A. J Clin Gastroenterol. 1990 Dec;12(6):717-8.
Oe Shinji,Shibata Michihiko,Miyagawa Koichiro, Honma Yuichi,Hiura Masaaki,Abe Shintaro,Harada Masaru.Hepatitis A complicated with acute renal failure and high hepatocyte growth factor:A case report.World J Gastroenterol.2015;21:9671-9674.
Atypical manifestations of hepatitis A virus infection. Muñoz-Martínez SG, Díaz-Hernández HA, Suárez-Flores D, Sánchez-Ávila JF, Gamboa-Domínguez A, García-Juárez I, Torre A. Rev Gastroenterol Mex (Engl Ed) 2018;83:134–143.
Leadnar WM, Lemon SM, Kirkpatrick JW, Redfield RR, Fields ML, Kelley PW. Frequency of illness associated with epidemic hepatitis and virus infection in adults. Am J Epidemiol. 1985;122:226–33.
Yasar B, Akbayir N, Celik S, Ozgil D, Akkan Z, Yildiz K, et al. Acute oligo-anuric renal failure during the course of non-fulminant hepatitis A in a patient with anorexia nervosa. Turk J Gastroenterol. 2002;13:164–75.