The first case of infection by Oesophagostomum spp. was reported in 1905 by Railliet and Henry, describing parasites found in the tumors of the caecum and colon of a male hailing from the Omo river in Southern Ethiopia.^[1] In 1910, H. Wolferstan Thomas reported the second known case, describing the macroscopical and microscopical pathology of Oesophagostomum stephanostomum. His descriptions were based on his observations regarding the post mortem of an infected Brazilian man who died from extreme dysentery.^[2] In subsequent decades, several more cases of Oesophagostomum spp. infection in humans were found in Brazil, Indonesia, Canada, and several areas of Africa, particularly Northern Ghana, Nigeria and Brazil. Of all reported Oesophagostomum human infections, only O. aculeatum, O. bifurcum and O. stephanostomum have been identified with certainty. The prominent, single-nodule form of oesophagostomiasis is often referred to as Dapaong tumor named after a city in northern Togo. Within the villages of Togo, villagers often refer to it as ‘Kounkoul’, which means ‘turtle’ in the native Moba-language; the name aptly describes the hard, round mass in the patient’s abdomen.^[3]