Abstract
In this article, the case is reported a 65-year old patient who was hospitalised for fever and abdominal pain. Abdominal ultrasound examination was performed and hilar hepatic tumor suspected and an echocardiography examination revealed pericardial effusion, which was evaluated as a paraneoplastic.
Based on the examinations above, cancer was suspected and the patient's prognosis seems to be fatal. However, through CT examination, a different serious condition was diagnosed; a subhepatic perforation was detected, and during emergency surgery, a perforated gangrenous cholecystitis was detected.