Work

Life-Threatening Gastrointestinal Bleeding in a Child with Acute Hepatitis A

Year: 2026

Type: article

Abstract: BACKGROUND: Hepatitis A virus (HAV) infection is a common cause of acute viral hepatitis in children. Severe complications are rare but may occur, particularly in older children or in the presence of concomitant conditions. CASE PRESENTATION: We report the case of an 11-year-old girl with acute hepatitis A with severe hepatic derangements who developed life-threatening upper gastrointestinal bleeding due to a previously undiagnosed duodenal ulcer. Emergency endoscopy confirmed active bleeding from a duodenal ulcer, and the patient survived the complications with treatment with a proton pump inhibitor and hemostatic management with blood products. CONCLUSIONS: Although hepatitis A is generally benign in children, this case highlights the potential for severe and life-threatening complications.

Source: Children

DOI: 10.3390/children13040526

Authors: Simona Zlatanova, Meri Hristamyan, Kostadin Ketev

Institution: Medical University Plovdiv

Language: English

Topic: Gastrointestinal Bleeding Diagnosis and Treatment

Subfield: Gastroenterology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,896