Wriggling Worms in The Gut During Endoscopy

A 71-year-old man presented to the outpatient clinic with a 10-hour history of severe cramping epigastric pain. He reported that he ate sea eel sashimi a day ago. Six months prior, he underwent endoscopic retrograde cholangiopancreatography (ERCP) and cholecystecto- my for stones in the common bile duct and gallbladder. He had no other significant medical history. He reported approximately 2 oz of alcohol consumption every other day and no tobacco or illicit drug use.

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