Case Report

Hepatic larva migrans presenting with upper gastrointestinal haemorrhage: A case report

Ranjan K. Patel, Shruti Mittal
South African Journal of Radiology | Vol 25, No 1 | a2200 | DOI: https://doi.org/10.4102/sajr.v25i1.2200 | © 2021 Ranjan K. Patel, Shruti Mittal | This work is licensed under CC Attribution 4.0
Submitted: 31 May 2021 | Published: 26 November 2021

About the author(s)

Ranjan K. Patel, Department of Interventional Radiology, Institute of Liver and Biliary Sciences, New Delhi, India
Shruti Mittal, Department of Radiodiagnosis, Maulana Azad Medical College, New Delhi, India


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Abstract

Visceral larva migrans (VLM) occurs because of a host inflammatory response to the migrating larvae of a nematode. Patients usually present with fever, hepatomegaly and abdominal pain; vascular arterial complications are uncommon. A 19-year female presented with fever, jaundice, abdominal discomfort and melena. Computed tomography (CT) revealed multiple discrete, clustered, complex hepatic cystic lesions consistent with VLM, along with an arterial pseudoaneurysm from the right hepatic artery which was managed with endovascular coil embolisation.

Keywords

visceral larva migrans (VLM); hepatic larva migrans; pseudoaneurysm; hepatic artery; portal vein thrombosis; coil embolisation

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