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以消化道大出血为表现的肝幼虫移行症:一例报告。

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

作者信息

Patel Ranjan K, Mittal Shruti

机构信息

Department of Interventional Radiology, Institute of Liver and Biliary Sciences, New Delhi, India.

Department of Radiodiagnosis, Maulana Azad Medical College, New Delhi, India.

出版信息

SA J Radiol. 2021 Nov 26;25(1):2200. doi: 10.4102/sajr.v25i1.2200. eCollection 2021.

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.

摘要

内脏幼虫移行症(VLM)是由于宿主对一种线虫的移行幼虫产生炎症反应所致。患者通常表现为发热、肝肿大和腹痛;血管动脉并发症并不常见。一名19岁女性患者出现发热、黄疸、腹部不适和黑便。计算机断层扫描(CT)显示多个离散、成簇、复杂的肝囊性病变,符合内脏幼虫移行症,同时还有右肝动脉的假性动脉瘤,通过血管内线圈栓塞进行了治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bbb/8661284/b366b7d4f040/SAJR-25-2200-g001.jpg

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