Abstract

PATEL, Ranjan K.  and  MITTAL, Shruti. Hepatic larva migrans presenting with upper gastrointestinal haemorrhage: A case report. S. Afr. J. radiol. (Online) [online]. 2021, vol.25, n.1, pp.1-5. ISSN 2078-6778.  http://dx.doi.org/10.4102/sajr.v25i1.2200.

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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