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Mumbai/New Delhi, July 28, 2025:
In a remarkable case the Narayana Health SRCC Children’s Hospital, Mumbai, has successfully treated an eight-year-old boy for a severe and rare complication of hepatitis A. The child was brought to the Emergency Room (ER) in a distressed state with significant respiratory difficulty and a swollen abdomen, prompting concerns of acute liver dysfunction. He had jaundice for five days, with dark-coloured urine and fatigue. Following this, he had also developed increasing abdominal distension and shortness of breath for nearly four days. A low-grade fever persisted throughout this time.
Under the expert care of Dr. Aditya Kulkarni, Consultant- Paediatric Gastroenterology and Hepatology
the medical team immediately conducted a range of investigations. Initial laboratory results revealed
highly elevated liver enzymes (ALT 2400 IU/L, AST 2100 IU/L), a total bilirubin of 11 mg/dL and low
albumin level among others. Blood testing for serology confirmed a diagnosis of acute hepatitis A.
Imaging studies showed an enlarged liver, moderate ascites-fluid inside abdomen and pleural effusion
(fluid between lungs and chest wall) which are rarely seen in hepatitis A. The young patient was
admitted to the Paediatric Intensive Care Unit (PICU) for observation and specialized care. Treatment
included intravenous fluids, albumin infusions to correct low protein levels, along with use of drugs to
relieve fluid buildup in the abdomen and lungs. Nutritional support was also a priority, with a specially
designed high-calorie, low-sodium diet supervised by dieticians.
On the second day of admission, Dr. Aditya performed procedure to carefully remove 400 mL of fluid
from the abdomen to ease the child’s breathing. This intervention lasted around 30 minutes and
significantly improved the patient’s breathing.
The child’s hospital stay lasted ten days, with the first three days in the PICU, followed by seven days in
the general paediatric ward. By day seven, the patient showed marked recovery — jaundice and
abdominal swelling had significantly reduced,. Liver function began to normalise by the tenth day and
the child was discharged in stable condition.
The dedicated team, including Dr. Aditya Kulkarni, Dr. Soonu Udani Medical Director and Head of
Critical Care, paediatric nurses, dieticians, and psychologists, ensured comprehensive care, addressing
not only the child’s physical needs but also the emotional well-being of his entire family.
The parents shared an emotional statement of gratitude: “We are deeply grateful to Dr. Aditya and the
entire team at Narayana SRCC Hospital for their dedication in treating our child with hepatitis A. Their
expertise and quick response to the rare complications turned our frightening situation into a successful
compassionate recovery.”
Dr. Aditya Kulkarni, Consultant Paediatric Gastroenterology and Hepatology Narayana Health SRCC
Children’s Hospital, Mumbai said, We often box hepatitis A into a neat, predictable corner, but this case challenged that perception. Witnessing a child present with fluid accumulation in abdomen/lungs,
typically red flags for long standing liver diseases, in the context of acute hepatitis A was a curveball. Our
team did innovated a rigorous monitoring and collaborative strategy, transforming a potentially dire situation into a beacon of hope and showcasing the extraordinary depth of pediatric capabilities.”
Reflecting on the case, Dr. Soonu Udani Medical Director ,Head of Critical Care & Emergency Services, Narayana Health SRCC Children’s Hospital, Mumbai, said, “This case was a rare and challenging one — it reminded us how unpredictable hepatitis A can be. Our team’s coordination,
meticulous monitoring, and targeted intervention ensured that the child was not only saved but
recovered beautifully.”
Dr. Zubin Pereira, Facility Director of Narayana Health SRCC Children’s Hospital, Mumbai , said “This
case is a testament to the high-quality paediatric specialty care we offer at our Hospital. Our
multidisciplinary team’s approach, patient-first mindset, and quick response in such a rare presentation
demonstrate our commitment to clinical excellence and compassionate care.”
