HEPATIC GRANULOMAS DUE TO VISCERAL LARVA MIGRANS IN ADULTS - APPEARANCE ON US AND MRI

Visceral larva migrans is a syndrome characteristically involving chil dren with a history of pica, and usually presents with fever, abdomina l 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 ch aracteristic granulomas of visceral larva migrans. All patients had ab dominal sonograms and two had additional MR scans of the liver. Both u ltrasound and magnetic resonance imaging demonstrated characteristic a ppearances which have not been described previously (viz., ill-defined central necrotic areas surrounded by concentric thick walls and perif ocal edema in the liver parenchyma).