We report the case of a 27-year-old Sudanese man with episodes of small bowel obstruction and volvulus, and significant malnutrition with severe hypoalbuminaemia due to strongyloidiasis. Interestingly, he did not have the common associated eosinophilia or any of the known risk factors of strongyloidiasis. His symptoms improved after treatment with ivermectin and albendazole. Health care providers should be aware of the possible absence of the well-described risk factors and the potential atypical presentation of this disease due to the growing population of migrants from the endemic areas in Australia.