The early ultrasound catches the worm
Stomach-turning scan shows true culprit
![Ultrasound](https://www.ausdoc.com.au/wp-content/uploads/2022/08/must-see-ascaris_nejm-1.jpg)
While ED doctors were scanning their patient’s inferior vena cava, something unexpected in the man’s stomach caught their attention: a tangle of parasitic worms undulating on ultrasound.
The 20-year-old presented to ED with one day of abdominal pain, vomiting and diarrhoea but no significant medical history.