| Summary points: | A 30-year-old Asian man presents with non-radiating pain in the right hypochondrium and epigastrium associated with vomiting, intermittent fever with chills, and rigors for 10 days. Physical examination, laboratory data, chest x-ray, ultrasonogram of the abdomen, pigtail catheterisation, and microbiological investigations are described. The authors emphasise the fact that, although a tuberculous liver abscess is a very rare entity, it should be included in the differential diagnosis of unknown hepatic mass lesions. |