A Gallbladder Mercedes-Benz Sign in Acute Hepatitis A

Year 2016, Volume: 17 Issue: 2, 106 - 109, 01.08.2016

Özüm Tunçyürek Elif Çetinkaya Aslı Kuru

Abstract

A 26-year-old male presented to the emergency department with the complaints of abdominal pain, fever, nausea and vomiting. During the abdominal ultrasound examination of the patient, who was taken to the intensive care unit due to stomach ache and nausea, the size of the long axis of the right lobe of the liver was found to be 140 mm. An about 1.5-cm lymphadenopathy was detected in the hilum. On portal venous phase-enhanced computed tomography (CT), the gallbladder wall thickness was 8 mm and pericholecystic and pelvic fluids were observed. Following biochemical tests, the patient was diagnosed with acute hepatitis A. In this case, it was an interesting finding that the gallbladder wall took the form of a Mercedes-Benz sign observed on CT, as a finding of hepatitis A for the first time in the literature.

Keywords

Hepatitis A, gallbladder, liver, inflammation

Akut Hepatit A Olgusunda Safra Kesesinde Mercedes-Benz İşareti

Abstract

Yirmi altı yaşındaki erkek olgu acil servise karın ağrısı, ateş, bulantı ve kusma yakınması ile başvurdu. Karın ağrısı ve mide bulantısı yakınmaları ile yoğun bakımda takibe alınan olgunun abdominal ultrason tetkikinde karaciğer sağ lob uzun aksı 140 mm bulundu. Karaciğer hilusunda 1,5 cm’lik lenfadenopati mevcuttu. Olgu bilgisayarlı tomografi (BT) tetkiki ile incelendi. Portal venöz faz kontrastlı BT incelemesinde, safra kesesi duvar kalınlığı 8 mm olup, perikolesistik ve pelvik serbest sıvı saptandı. Yapılan biyokimyasal testler sonrasında olgu akut hepatit A tanısı aldı. Bu olguda ilginç olan bulgu BT tetkikinde literatürde ilk kez tanımlanacak olan safra kesesi duvarında izlenen Mercedes Benz işaretidir

Keywords

Hepatit A, safra kesesi, karaciğer, enflamasyon

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