When a teenage girl arrived with a bulging stomach at her local hospital, Nurse Maricar Cabral-Osorio thought she was pregnant.
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But an ultrasound showed no signs of a baby.
Speaking on new series Untold Stories Of The ER, Maricar explained: "Something was in her intestines."
They soon discovered the truth when the girl went to the bathroom and started screaming.
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"It was so gross and she had pooped all these tapeworms. There were a couple that were very long and wiggling around trying to get out of the toilet bowl."
Watch the reenactment below:
Since the tapeworms were now out of the girl's body, the pains would stop and she would make a full recovery.
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But one question remained.
Maricar said: "We were wondering 'how did she get those tapeworms?' - and then you saw the mom turn white.
"The mom was apologising to the girl. It's like 'I'm so sorry. You know, I did it just to make you a little skinnier. You needed some help before we went on to the pageant."
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The mother later admitted that she had given the girl pills with tapeworm eggs - making this one of the most disgusting diet fads we've ever heard of.