A 23-year-old guy recently visited Fortis Hospital in Vasal Kunj to complain about stomach symptoms he had been having for roughly three days.

He reported significant gastrointestinal pain and trouble digesting food, which resulted in frequent bloating. The man had eaten street food at a night market a few days before and felt that was the source of his health problems.

Doctors decided that the best course of action was to conduct an Upper Gastrointestinal (GI) Endoscopy, a procedure that examines the upper part of the gastrointestinal tract, to hopefully discover the cause of the man’s symptoms.

What they certainly didn’t expect to find was a live cockroach chilling in the man’s small intestine.

“For the last two-three days, the patient was suffering from indigestion and bloating after eating food. It was during routine inspections that we incidentally spotted the cockroach,” Dr Shubham Vatsya told the Indian Express newspaper. “Even we were surprised as to how the cockroach managed to remain intact.”

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As for how the 3cm cockroach wound up in the poor man’s intestines, the Indian gastroenterologist speculated that it could have crawled down his throat while he slept, or the man accidentally swallowed it when visiting the night market.

While unusual, this case is not unique. In fact, just last month, we wrote about a Chinese man who accidentally swallowed a cockroach and complained of bad breath for three days.