Upper gastrointestinal endoscopy (UGIE) is performed routinely for upper gastrointestinal (GI) related symptoms. Occasionally there are incidental discoveries contrary to intended objectives. Helminth infestation to human is diagnosed commonly by stool examination with presence of its eggs or parasites. But sometime it is encountered during endoscopy performed for different intentions. Few literatures have reported it’s detection while performing endoscopy from other countries but not yet reported from Bhutan, although it may have been detected. In this paper we report a 59 years old female who had two adult live hookworms in the stomach during upper GI endoscopy done for anemia and pain abdomen. The diagnosis was established by microscopic examination. The patient was treated with anthelmintic therapy. Her symptoms improved with the treatment.

Keywords: Hookworm Infestation; Stomach; Upper Gastrointestinal Endoscopy