A 62-year-old male presented to outpatient department of surgery with a painless, gradually increasing swelling over anterior abdominal wall for the last three years. There were no other symptoms and the patient did not have any other past medical history suggestive of tuberculosis. Physical examination revealed a nontender swelling (7 cm x 5 cm) on the anterior abdominal wall to left of midline which extended from left hypochondrium above to the umbilicus below [Figure 1]. The swelling was soft and cystic in consistency and failed to disappear while making the anterior wall muscles taut. Rest of the abdominal examination was normal. There was no associated lymphadenopathy and systemic examination was normal. Routine blood and urine examinations were normal. Chest radiograph and blood chemistry including human immunodeficiency virus (HIV) test did not reveal any abnormality. Ultrasonography and computerized tomography (CT) Scan examination revealed two cystic masses one 3.7 x 5.2 cm and another 7.4 x 5.4 cm abdominal parietal wall mass (predominantly cystic) of mixed echogenicity, one in right hypochondrium and another in left hypochondrium extending to umbilical region with peripheral enhancement [Figure 2]. contrast enhanced computerized tomography (CECT) abdomen and pelvis was normal. The differential diagnosis multiple hydatid cyst of anterior abdominal wall was excluded once indirect hemagglutition test was reported to be negative. Fine needle aspiration cytology revealed caseating granuloma with central necrosis, lymphocytes and giant cells, consistent with tuberculosis. The patient was diagnosed to have multiple tubercular cold abscess of anterior abdominal wall. Patient responded favorably to antitubercular drugs and anti gravity needle aspiration.