Cat-scratch disease (CSD) is a bacterial infection which primarily transmitted to humans through scratches, bites, or licks from infected cats. Even though CSD is generally a mild condition, atypical symptoms may appear and must be distinguished from other diseases. We encountered a 57-year-old woman who presented with intermittent pain in the right upper quadrant and epigastric part of the abdomen, and had lost 11 kg within a few months. She never had a cat and did not recall being scratched by a cat. Radiologic examinations strongly suggest a malignant bile duct tumor, thus liver resection was done. However, the result of histopathology was a CSD. At follow-up, the patient was stable and also showed improvement in her general condition. Hence, proper preoperative examinations of the patients are crucial in order to avoid excessive or inadequate treatment.

• Renandha Septaryan Yustira(St. Carolus Hospital, Jakarta)
• Adianto Nugroho(Department of Surgery, St. Carolus Hospital, Jakarta, Department of Surgery, Fatmawati Central General Hospital, Jakarta) Corresponding author
• Renaningtyas Tambun(Anatomical Pathology Laboratory, St. Carolus Hospital, Jakarta)
• Ivana Dewi Mulyanto(Department of Radiotherapy, MRCCC Siloam Hospital Semanggi, Jakarta, Indonesia)
• Esther Eunike(St. Carolus Hospital, Jakarta)
• Kenny Wijaya Sutanto(St. Carolus Hospital)