eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2017-10-23 5 10 262 263 10.12691/ajmcr-5-10-3 AJMCR20175103 article Nazish Malik dr.nazishmalik874@gmail.com 1 Munawwar Hussain 2 Syed Mussadiq Ali Akbar Naqvi 3 Conemaugh Memorial Medical center, USA Department of Internal Medicine, Conemaugh Memorial Medical Center, Johnstown, PA. USA Department of Internal Medicine, Parkland Hospital Dallas, TX. USA Choroidal melanoma is the most common primary intraocular malignant tumor and the second most common type of primary malignant melanoma in the body. The liver is main site of metastasis in more than 80% cases. There is no consensus regarding follow up with patient having ocular melanoma to see any metastatic disease. We present a case admitted with right upper quadrant pain and diagnosed with metastatic melanoma due to right ocular lesion treated 20 years ago. After the diagnosis was made patient survived only for two weeks. That further signifies the unpredictable course of the disease. http://pubs.sciepub.com/ajmcr/5/10/3/ajmcr-5-10-3.pdf choroidal melanoma follow up liver metastasis