Ultrasound Pictures of hepatitis A
Within two days of admission to the hospital, her jaundice, abdominal pain, vomiting frequency, temperature, skin icterus and abdominal tenderness increased. The right side of the abdomen was tender with painful fullness in the right hypochondrium (a positive Murphy’s sign). Repeated biochemical study showed total bilirubin 12.9 mg/dL, with a direct fraction of 7,8 mg/dL, ALT: 5025 U/L and AST: 4233 U/L. Abdominal ultrasound revealed hepatomegaly, hydropic gallbladder without calculus, thickened gallbladder wall (12 mm) and pericholecystic fluid (ULTRASOUND PICTURES in below). During follow-up, she remained febrile for three days. On follow up with in four days, her tenderness regressed, five days after the onset of her symptoms, serum total bilirubin and its direct fraction levels decreased to 10.7 mg/dL and 6 mg/dL, respectively; there was also a marked decrease in serum AST and ALT levels.
She was discharged on the 10th day of admission in good clinical condition and with considerable improvement in biochemical tests. During a follow-up of 6 months, she was in good condition without any complaint.
You can see this below image of ultrasound
the Ultrasound Pictures above demonstrad abnormal in wall
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