Hospital-trained interpreters are a valuable and needed resource to facilitate communication with limited English-proficient patients and families. Other interpretation services are useful but have limitations.

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This case report discusses a school-aged boy who presented to the emergency department with diffuse abdominal pain and fever. After investigation, he was found to have <i>Enterobius vermicularis</i> infestation of the appendix without appendicitis. The novelty of this case is the video clip of a live worm-like finding on ultrasound in the boy. The video for this case serves as a reminder for emergency physicians or pediatricians to consider parasitic etiologies in children with abdominal pain, absent some of the classic manifestations like perianal pruritis.