Fasciola hepatica is a worldwide distributed zoonotic
trematode incidentally infecting humans. Although often
symptomatic, fascioliasis can cause a wide spectrum
of disease. The diagnosis can be established by stool
examination detecting ova of the parasite, although
serological testing has a higher sensitivity and specificity in the acute phase of disease. This case presents a 24-year-old Somalian man admitted with jaundice and abdominal discomfort due to fascioliasis after chewing khat. The patient was treated successfully with a single dose of triclabendazole.