Live large flatworm in intestine

Medhavi Vivek Joshi, Chaitanya Ajay Kulkarni

PAMJ. 2021; 39:209. Published 22 Jul 2021 | doi:10.11604/pamj.2021.39.209.30820

A 40-year male presented to the emergency department with the complaints of Fatigue that had progressively worsened over the period of 3 months. He had recently emigrated from Mexico, where he worked on a farm and eaten raw watercress. Clinical examination revels pallor of oral mucosa. Laboratory findings showed an increased in absolute Eosinophil count of 1400 cells per cubic millimeter (reference range 0-400). Ultrasonography of the abdomen reveled intrahepatic biliary ductal dilatation and magnetic resonance cholangiopancreatography revealed a hilar stricture. Endoscopic retrograde cholangiopancreatography was then performed and Large Flatworm were visualized emerging from major duodenal papilla.
Corresponding author
Chaitanya Ajay Kulkarni, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India (

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