three living fasciola hepatica in the biliary tract of a woman

fasciola hepatica (f. hepatica) 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 f. 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.