Diagnosing a rare disease is challenging but unravelling the rare findings of a common disease is motivating! One such common disease dealt in the case report below is Amoebiasis. Amoebiasis is a major public health problem worldwide. Mortality due to amebiasis is mostly by extra intestinal infections, amebic liver abscess being the most common one. Overall, 10% of the world's population is infected with Entamoeba histolytica (E. histolytica) but out of this only 1% becomes symptomatic. Nearly 20% of the Indian population show manifestations of the disease. With this background epidemiological prevalence, we present an unusual case of a 30year old male with a ruptured amoebic liver abscess into the pericardium.