Objective: To review the management experience of a consecutive series of patients presenting as acute surgical abdomen whom were ultimately diagnosed to have DF(Dengue fever)/ DHF(Dengue heamorrhagic fever),Methods: Clinical data of all cases of apparent acute abdomen(AA) which were later confirmed as having DF/DHF reviewed by two surgical units from December 2012 to December 2013 were analyzed,Initially confirmed patients with DF/DHF who developed abdominal symptoms were not considered,Results: Out of the seventeen cases(7 males,age range 10-71 years) presented with fever and AA; appendicitis,cholecystitis,pancreatitis and non-specific peritonitis were suspected initially in 8,5,1 and 3 cases,respectively,Neutropenia or thrombocytopenia signifying DF/DHF occurred only in 11 patients at first evaluation thus six remained as surgical candidates beyond 24 h,One patient underwent appendicectomy with a prolonged hospital stay,DF was confirmed by serology in all patients,latest by fourth day of admission,One required blood product transfusion,4 needed critical care treatment and there was 1 death,Conclusions: DF/DHF misleads the clinicians when it presents as AA,Initial heamatological and ultrasonographic findings may be equivocal creating a diagnostic and management dilemma,Vigilant clinical suspicion and early dengue serological assessment is advisable in equivocal cases of AAs with fever in dengue endemic areas,to confirm/exclude the infection in order to avoid unnecessary surgical morbidity in the presence of DF. Objective: To review the management experience of a consecutive series of patients presenting as acute surgical abdomen whom were ultimately incorporated into patients with DF (Dengue fever) / DHF (Dengue heamorrhagic fever), Methods: Clinical data of all cases of apparent acute abdomen (AA ) which were later confirmed as having DF / DHF reviewed by two surgical units from December 2012 to December 2013 were analyzed, Initially confirmed patients with DF / DHF who developed abdominal symptoms were not considered, Results: Out of the seventeen cases (7 males, age range 10-71 years) presented with fever and AA; appendicitis, cholecystitis, pancreatitis and non-specific peritonitis were identified initially in 8,5,1 and 3 cases, respectively, Neutropenia or thrombocytopenia signifying DF / DHF occurred only in 11 patients at first evaluation thus six remained as surgical candidates beyond 24 h, One patient underwent appendicectomy with a prolonged hospital stay, DF was confirmed by serology in all patients, latest by fourth d ay of admission, One required blood product transfusion, 4 needed critical care treatment and there was 1 death, Conclusions: DF / DHF misleads the clinicians when it presents as AA, Initial heamatological and ultrasonographic findings may be equivocal creating a diagnostic and management dilemma, Vigilant clinical suspicion and early dengue serological assessment is advisable in equivocal cases of AAs with fever in dengue endemic areas, confirm / exclude the infection in order to avoid unnecessary surgical morbidity in the presence of DF.