Dengue Haemorrhagic Fever presenting as Acute Abdomen

We describe a case of a 38 year-old sri lankan female who was referred to the surgeon on call with a picture of acute abdomen. she presented with a three-day history of fever, headache, abdominal pain and diarrhoea; however, the physical examination was not consistent with acute abdomen. her platelet count was 22 ×109/l. a diagnosis of dengue haemorrhagic fever (dhf) was made and dengue serology was positive. dengue epidemics have been associated with a variety of gastrointestinal symptoms and signs, including acute abdomen. acute abdomen in patients with dhf makes the diagnosis and management challenging.