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Paragonimiasis or lung fluke disease is a typical food-borne parasitic zoonosis caused by infection with . The is a trematode that mainly infects the lungs of humans after eating an infected raw or undercooked crab or crayfish. Herein we report a case of peritoneal Paragonimiasis in the gallbladder of a 58-year-old female from Rukum district of Nepal. It was an incidental diagnosis following routine histopathological examination of the cholecystectomy specimen. She presented with the symptoms of abdominal pain, fever, cough, and had a h