Abstract. Hepatitis A (HA) is a common illness, with prevalence rates highest in areas with limited hygiene and sanitation practices. In developing countries, where infection is endemic, most people are infected during the first decade of life. The illness is self limited, and severity is age dependent. One of the rare extrahepatic complications of hepatitis A is anasarca. The anasarca presenting as pleural effusion with ascites is a rare and possible benign complication of hepatitis A, and its appearance doesn't seem to correlate with seriousness of illness in children. We present a case of anasarca as an atypical presentation of hepatitis A. Key words: Anasarca, atypical, hepatitis A