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- Title
Eosinophilic abscesses: a new facet of hepatic visceral larva migrans.
- Authors
Mukund, Amar; Arora, Ankur; Patidar, Yashwant; Mangla, Vivek; Bihari, Chhagan; Rastogi, Archana; Sarin, Shiv
- Abstract
Hepatic visceral larva migrans (VLM) refers to a condition characterized by granulomatous liver lesions containing eosinophils and inflammatory cells associated with migration of second-stage larvae of certain nematodes such as toxocara canis. The typical imaging findings described in the literature include small, ill-defined, oval or elongated, low-attenuating nodules with fuzzy margins, non-spherical shape, and absent or insignificant rim enhancement on contrast-enhanced CT scan. The present series in contrast depicts a new imaging manifestation of hepatic VLM presenting as confluent and clustered complex cystic liver lesions. Pre-treatment imaging studies including contrast-enhanced CT/MRI of three patients are presented. One of the patients underwent liver resection while post-treatment follow-up scan at 6 months in the remaining two displayed regression of the lesions with antihelminthic treatment.
- Subjects
EOSINOPHILIC granuloma; ABSCESSES; VISCERAL larva migrans; LIVER injuries; CROHN'S disease; INFLAMMATION; MAGNETIC resonance imaging; CANCER tomography
- Publication
Abdominal Imaging, 2013, Vol 38, Issue 4, p774
- ISSN
0942-8925
- Publication type
Report
- DOI
10.1007/s00261-012-9935-x