PMC9894724_01
Ultrasound of abdomen showing a linear echogenic structure in the A) CBD, B) epigastric region and C) right lumbar area (yellow arrows).
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PMC9894724_01_cureus-0015-00000033323-i01.jpg
FIG1
These linear echogenicities were likely due to ascariasis (Figures 1A-1C).
Cholangiogram showing A) a big adult worm in the left hepatic duct and proximal CBD (blue arrows) and B) absent adult worm after removal using guidewire (red arrow).
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PMC9894724_01_cureus-0015-00000033323-i02.jpg
FIG2
The guide wire was passed selectively to the left hepatic duct and the adult worm was removed with balloon weep (Figures 2A, 2B).