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

  • Bhishma Pokhrel Patan Academy of Health Sciences, Lalitpur, Nepal.
  • Sunil Kumar Daha Patan Academy of Health Sciences, Lalitpur, Nepal.
  • Nikhil Shrestha Oxford University Clinical Research Unit-Nepal, Lalitpur, Nepal.
  • Pankaj Kumar Sah Patan Academy of Health Sciences, Lalitpur, Nepal.
  • Nimesh Khanal Kanchanjunga Hospital, Birtamode, Nepal.
Keywords: cholestasis; hepatitis A; meckel’s diverticulum.

Abstract

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.

Published
2020-06-30
How to Cite
Pokhrel, B., Daha, S. K., Shrestha, N., Sah, P. K., & Khanal, N. (2020). Massive Gastrointestinal Bleeding Masquerading Coagulopathy in Acute Viral Hepatitis: A Case Report. Journal of Nepal Medical Association, 58(226). https://doi.org/10.31729/jnma.5007