Three living fasciola hepatica in the biliary tract of a woman

Fasciola hepatica [F. hepaticd] as a foodborne trematode can occasionally cause hepatobiliary diseases. We report a 67-year-old woman who was referred to our center because of the diagnosis of cholangitis. She was a resident of mountainous area with the history of unsafe water and contaminated vegetables. Endoscopic retrograde cholangiopancreatography [ERCP] was performed as a diagnostic and therapeutic modality for her. Three living R hepatica was removed from biliary tract with a basket via ERCP. Clinical and laboratory condition of the patient improved after therapy of antibiotics and triclabendazole