肝胆胰外科杂志2026，Vol.38Issue(5)：353-355,3.DOI:10.11952/j.issn.1007-1954.2026.05.008
肝脏内脏幼虫移行症一例
A case of hepatic visceral larva migrans
陈培生 1王浩 1潘亚奇 1徐敏 1辛鉴 1应杰萍 1许永华1
作者信息
- 1. 徐州医科大学盐城临床学院,江苏 盐城 221004||盐城市第一人民医院肝胆胰外科,江苏 盐城 224003
- 折叠
摘要
Abstract
We reported a rare case of hepatic visceral larva migrans(VLM).A 55-year-old man was admitted after a hepatic mass was incidentally detected during a routine physical examination.Preoperative PET/MR demonstrated a branch-like and nodular lesion in hepatic segment Ⅷ with mildly increased uptake and restricted diffusion,raising suspicion for cholangiocarcinoma.Robotic-assisted partial hepatectomy was performed using the Da Vinci robotic system.Histopathological examination revealed multifocal eosinophilic abscesses with abundant Charcot-Leyden crystals and degenerated larval structures,confirming the hepatic VLM.This case highlights that VLM should be considered in the differential diagnosis of hepatic space-occupying lesions,particularly when eosinophilia is present,to reduce misdiagnosis and inappropriate management.Robot-assisted surgery has demonstrated certain technical advantages in the resection of hepatic lesions located in anatomically complex regions;however,its clinical value still requires further validation through the accumulation of more cases and additional studies.关键词
肝脏内脏幼虫移行症/Charcot-Leyden结晶/机器人手术/肝部分切除术Key words
hepatic visceral larva migrans/Charcot-Leyden crystals/robotic surgery/partial hepatectomy分类
医药卫生引用本文复制引用
陈培生,王浩,潘亚奇,徐敏,辛鉴,应杰萍,许永华..肝脏内脏幼虫移行症一例[J].肝胆胰外科杂志,2026,38(5):353-355,3.
