Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 26, 2023; 11(6): 1410-1418
Published online Feb 26, 2023. doi: 10.12998/wjcc.v11.i6.1410
Hepatitis A virus-associated acute acalculous cholecystitis in an adult-onset Still’s disease patient: A case report and review of the literature
Chu-Heng Chang, You-Yang Wang, Yang Jiao
Chu-Heng Chang, You-Yang Wang, Yang Jiao, Department of General Practice (General Internal Medicine), Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
Author contributions: Jiao Y conceived this study; Chang CH and Wang YY drafted the manuscript; Jiao Y critically revised the manuscript; all authors have revised the final version of the manuscript and approved it for publication.
Supported by the National High Level Hospital Clinical Research Funding, No. 2022-PUMCH-A-017 and No. 2022-PUMCH-B-045; and CAMS Innovation Fund for Medical Sciences from Chinese Academy of Medical Sciences, No. 2021-I2M-1-062.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yang Jiao, MD, Associate Professor, Department of General Practice (General Internal Medicine), Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No. 1 Shuaifuyuan, Beijing 100730, China. jiaoy@pumch.cn
Received: November 11, 2022
Peer-review started: November 11, 2022
First decision: January 12, 2023
Revised: January 14, 2023
Accepted: February 8, 2023
Article in press: February 8, 2023
Published online: February 26, 2023
Processing time: 101 Days and 4.8 Hours
Core Tip

Core Tip: Acute acalculous cholecystitis (AAC) can be caused by hepatitis A virus (HAV) infection or adult-onset Still’s disease (AOSD). Cholestasis is more likely to occur in HAV-associated AAC, whereas hematological complications are more common in AOSD-associated AAC. When AAC cannot be explained by AOSD, it is necessary to find other causes of AAC. An acute abdomen caused by HAV-related AAC requires careful consideration of the surgical necessity, since most cases are self-limiting and gallbladder perforation is rare.