Live Faciolopsis buski in a migrant with Subacute intestinal obstruction, a case report from a tertiary care hospital

A thick fleshy leaf shaped worm, identified as Fasciolopsis buski was found in the vomitus of a 15 year old migrant from Bihar. The patient was presented with severe epigastric pain, vomiting and constipation for a period of about 3 days. Clinical examination showed epigastric tenderness and mild anaemia. Ultrasonagram abdomen revealed free floating live adult worms in the jejunum with dilated small bowel loops. Stool examination after deworming also showed large bile stained operculated eggs of Fasciolopsis buski. Patient responded well with praziquantel. Reporting of fasciolopsiasis for the first time in nonendemic area, Coimbatore caused a great concern to the local health authorities indicating a necessity to initiate surveillance among migrants and preventive interventions.