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Psoas abscess in the pediatric population is a rare clinical entity with various etiologies and non-specific clinical presentation, frequently resulting in delayed diagnosis, increased morbidity and prolonged hospitalization. We report a case of a primary psoas abscess with Pott's disease due to Mycobacterium Tuberculosis infection in an immunocompetent 5yr old female child that presented with left lower abdominal pain and a soft tissue mass over the left iliac fossa (LIF) and inguinal regions.

Tuberculous psoas abscess with Pott's disease in 5year old child presenting as lower abdominal and pelvic mass.