Multiple hepatic artery pseudoaneurysms associated with visceral larva migrans: a rare cause of upper gastrointestinal bleeding in a child.
Tripti Prajapati, Bhumika Dhamija, Ravi Shanker Singh et al.
✦ AI-curated · Sources linked
Case in brief
A 3-year-old girl presented with prolonged fever, abdominal pain, and haematemesis. Laboratory tests revealed anaemia, elevated eosinophils, jaundice, high serum IgE, and positive Toxocara serology. Imaging showed multiple hepatic lesions and CT angiography identified multiple hepatic artery pseudoaneurysms. The patient was treated with transarterial embolisation, albendazole, and corticosteroids, leading to significant clinical improvement.
What made this case unusual
The case is notable for the association of multiple hepatic artery pseudoaneurysms with visceral larva migrans, an uncommon complication that can lead to upper gastrointestinal bleeding.
Diagnostic / clinical pearl
Clinicians should consider visceral larva migrans in children presenting with fever and abdominal symptoms, especially when imaging reveals hepatic lesions and potential vascular complications.
Why it matters
This case underscores the importance of integrating clinical findings with advanced imaging techniques like CT angiography to identify serious complications in pediatric patients.