The incidence of dengue has grown dramatically around the world in recent decades. The disease is now endemic in more than 100 countries. But whenever there is large dengue outbreak in any region around the world, many of these cases are misdiagnosed as other febrile illness and many a times it has mislead the surgeons of some acute or other surgical conditions. Thus it is of utmost importance for a medical professional to consider and exclude dengue fever as one of the differential diagnosis for a patient in an endemic zone or in an area with an epidemic outbreak of dengue fever and direct himself towards getting the right diagnosis and providing pompt treatment which is the key for the patient.