Liver lesions of visceral larva migrans due to Ascaris suum infection: CT findings

Abdom Imaging. 2004 Sep-Oct;29(5):598-602. doi: 10.1007/s00261-003-0153-4. Epub 2004 Jun 23.

Abstract

The purpose of this study was to analyze computed tomographic (CT) findings of hepatic lesions due to Ascaris suum infection. CT of the liver in three patients, all of whom had immunoserologically confirmed A. suum infection, were retrospectively reviewed. Twenty-five lesions were identified in total. Two radiologists analyzed CT findings in a consensus fashion, with particular interest in the margin, shape, and location of the lesions. Hepatic lesions were ill-defined (22 of 25), small (3-35 mm; average, 11 mm), and nodular (18 of 25) or wedge (three of 25) in shape. Most were located in periportal (16 of 25) or subcapsular (six of 25) regions. Hepatic nodules due to visceral larva migrans of A. suum were located mainly in periportal or subcapsular regions, which may represent periportal eosinophilic granuloma, its pathologic feature. The results were considered to represent the pathophysiology of this entity.

MeSH terms

  • Adult
  • Animals
  • Ascariasis / diagnostic imaging*
  • Ascariasis / parasitology
  • Ascaris suum*
  • Female
  • Humans
  • Larva Migrans, Visceral / diagnostic imaging*
  • Larva Migrans, Visceral / parasitology
  • Liver / diagnostic imaging*
  • Liver / parasitology
  • Male
  • Middle Aged
  • Retrospective Studies
  • Tomography, X-Ray Computed*