Massive Gastrointestinal Bleeding Masquerading Coagulopathy in Acute Viral Hepatitis: A Case Report

• Main Authors: Bhishma Pokhrel, Sunil Kumar Daha, Nikhil Shrestha, Pankaj Kumar Sah, Nimesh Khanal
• Format: Article
• Language: English
• Published: Nepal Medical Association 2020-06-01
• Series: Journal of Nepal Medical Association
• Subjects: cholestasis; hepatitis A; meckel’s diverticulum.
• Online Access: https://www.jnma.com.np/jnma/index.php/jnma/article/view/5007
• ISSN: 0028-2715; 1815-672X

Hepatitis A virus infection is typically an acute self-limiting illness associated with general nonspecific symptoms such as fever, malaise, anorexia, nausea, vomiting, abdominal pain or discomfort, and diarrhea. This may have atypical manifestation like prolonged cholestasis. Despite having varying typical and atypical manifestations such a case may present with life-threatening bleeding from a co-existing surgical cause such as perforation of Meckel’s diverticulum.