DOI: 10.1002/ccr3.8771 ISSN: 2050-0904

Acute acalculous cholecystitis complicated by infectious mononucleosis caused by cytomegalovirus

Noriko Ide, Risa Hirata, So Motomura, Masaki Tago
  • General Medicine

Key Clinical Message

When seeing patients who present with atypical lymphocytes and abdominal pain without accompanying symptoms of pharyngitis or lymphadenopathy, acalculous cholecystitis caused by CMV infection should be considered as a differential diagnosis.

Abstract

A teenage man presented with a fever and epigastric pain. The patient tested positive for cytomegalovirus IgG and IgM. Abdominal ultrasonography and contrast‐enhanced CT revealed hepatosplenomegaly and gallbladder wall thickening. MRI did not identify gallstones or tumorous lesions. He was diagnosed with infectious mononucleosis and acalculous cholecystitis caused by cytomegalovirus.

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