Acute hepatitis A is a frequent public health problem that is mostly seen in childhood, particularly in developing countries. It is the most frequent viral hepatitis. Our country is classified as a moderate endemic region for hepatitis A virus infection. Hepatitis A infection is usually asymptomatic in childhood; however, the course of infection can be more severe at older ages and the infection may end with fulminant hepatic failure, although this is rare. Different extrahepatic findings have been reported to be associated with hepatitis A virus infection. Pleural effusion is a rare complication of hepatitis A. In this report, we present a pediatric case of hepatitis A together with pleural effusion and ascites in which the patient fully recovered by supportive care after presenting to the hospital.