Gulsen, et al. Fascioliasis like shadows and a jagged appearance in the distal dilated parts. Sphincterotomy was performed, and the living mobile parasites were removed from the common bile duct by a balloon (figures 1-3). After ERCP, triclabendazole was administered at a dose of 10 to 12 mg/kg for one or two days, after which the symptoms disappeared and biochemical values soon returned to normal. A history of ingestion of watercress and other freshwater plants was confirmed in all the patients. Later at their first control visit, ultrasound revealed an almost normal CBD in all patients. dis C ussio N

Humans, usually an accidental host, most commonly and classically get infected by eating watercress grown in sheep-raising rural areas. When eating infected material, infective metacercariae excyst in the duodenum and larvae emerge. The larvae penetrate the wall of the small intestine into the peritoneal cavity, then penetrate the liver capsule and pass through the liver tissue into the biliary tract. The disease is not only acquired by eating watercress but also by raw or undercooked liver of infected animals, or other plants such as lettuce and spinach, or drinking infected water. For this reason, if the infected materials stated above are eaten, the disease will not be limited to rural areas, and can be seen in the centres of developed