Most common form of extra intestinal amoebiasis is amoebic liver abscess. Ultrasonogram (USG) is the investigation of choice for diagnosis and for performing therapeutic procedures of liver abscess. It is treated medically with or without surgical intervention. A 5 year old child came with fever and right hypochondrial (RHC) pain. He was found to have amoebic liver abscess which was diagnosed with USG and liver aspirate for microscopy. He needed Pigtail Catheter Drainage (PCD) and chloroquine as he failed to respond to metronidazole therapy and Percutaneous Needle Aspiration done twice (PNA).