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Fascioliasis, a liver fluke infection caused by Fasciola hepatica, is one of the rarer causes of liver abscesses1. Differentiating these infections from the more common pyogenic and amoebic liver abscesses can be difficult. Diagnosis can be confirmed by demonstrating live parasites or eggs in the bile or feces2. We present the radiograph images and a short video which demonstrate a liver fluke being removed from the bile duct at endoscopic retrograde cholangio-pancreatography (ERCP) in a lady who presented with a liver abscess.
A 65-year-old retired teacher presented with a 3-months’ history of upper abdominal discomfort and nausea. Over the past 2 years she had travelled …
Contributors SSD: collection of data, editing of images and video and preparing the manuscript. RMC: conceived the idea, performed the endoscopic procedure, recorded the video of the procedure and revision of the manuscript. MS, JRS, and BCJ helped with providing the data and revision of the manuscript.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.