A 31-year-old woman presented with right iliac fossa and right-sided back pain for 1-month duration. She was afebrile, had no cough or night sweats but was anemic. Abdominal CT scan with intravenous contrast showed an inflammatory mass in the right iliac fossa (yellow arrow heads) with sinus tracts communicating to a right iliopsoas abscess (white arrow heads). The patient was from an endemic area of tuberculosis and was treated with anti-tuberculous drugs