Hepatitis A with pleural effusion, ascites and acalculous cholecystitis

Hepatitis A virus [HAV] infection constitutes an important health problem in developing counties. It is usually a benign self-limiting disease, but may present with atypical clinical findings. A twelve-year-old male with ascites, pleural effusion, and acalculous cholecystitis during the course of HAV infection is reported. He was managed conservatively and clinical improvement was observed with resolution of HAV infection. To our knowledge, this is the first case in which all these three rare complications were observed in a single patient in the early period of disease