Ultrasound at Medic revealed an ascaris that was moving inside common bile duct while unfortunatly CT cannot see it.
ERCP was performed to make clear diagnosis of ascaris in CBD and removing ascaris out.
The worm was still alive outside patient body being a male ascaris with hook and genital specula.
In ten years, there were 42 worms of CBD ascaris from 54 cases detected by ultrasound which were removed out by ERCP.
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