Jain R, Sawhney S, Bhargava D K, Panda S K, Berry M
Department of Radio-diagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi.
Abdom Imaging. 1994 May-Jun;19(3):253-6. doi: 10.1007/BF00203520.
Visceral larva migrans is a syndrome characteristically involving children with a history of pica, and usually presents with fever, abdominal pain, tender hepatomegaly, and hypereosinophilia. Hepatic granulomas of visceral larva migrans are rare in adults. We describe three adult patients with hepatic lesions which on histopathology demonstrated characteristic granulomas of visceral larva migrans. All patients had abdominal sonograms and two had additional MR scans of the liver. Both ultrasound and magnetic resonance imaging demonstrated characteristic appearances which have not been described previously (viz., ill-defined central necrotic areas surrounded by concentric thick walls and perifocal edema in the liver parenchyma).
内脏幼虫移行症是一种典型累及有异食癖病史儿童的综合征，通常表现为发热、腹痛、肝脏肿大压痛及嗜酸性粒细胞增多。内脏幼虫移行症的肝肉芽肿在成人中罕见。我们描述了3例有肝脏病变的成年患者，其组织病理学显示为内脏幼虫移行症的特征性肉芽肿。所有患者均进行了腹部超声检查，2例还进行了肝脏磁共振成像检查。超声和磁共振成像均显示出以前未描述过的特征性表现（即肝实质内边界不清的中央坏死区，周围有同心增厚壁及灶周水肿）。
