Pericardial catheterisation is a vital procedure to drain and relieve life threatening cardiac tamponade. But like any other invasive procedure it is not devoid of complications related to misplacement. We present a case of ruptured amoebic liver abscess into the misplaced pericardial pigtail catheter into the liver. This case calls attention to the fact that extreme caution should be taken while putting pericardial catheter in presence of contiguous intraabdominal abscess as it may provide a low resistance passage for the catheter leading to misplacement. Fortunately it drained the liver abscess and our patient did not have any complication related to the misplacement.

Keywords: Cardiac Tamponade; Misplaced Pericardial Catheter; HepatoPericardial Fistula.