Giant Gluteal Mass : An Unusual Presentation of Anal Tuberculosis

Introduction: Anal tuberculosis is an extremely rare extrapulmonary form of tuberculosis even in highly endemic countries.Its nonspecific symptoms often lead to a delayed diagnosis.Tubercular anal fistulae must be adequately recognized because they require a specific course of treatment. Presentation of case:We present an unusual case of a large painless ball-shaped lump arising due to tuberculous infection of the anal and perianal region.The treatment course lasted 6 months.The patient showed signs of recovery after 2 weeks of treatment, and complete remission was achieved. Conclusion:The rarity of anal and perianal tuberculosis and its nonspecific symptoms cause it to go unrecognized, delaying the specific treatment.It is recommended to evaluate for tuberculosis in case of atypical anal and perianal lesions, especially in highly endemic regions.Complex anal fistulae can heal after antitubercular therapy alone, especially when their surgical drainage can cause an extensive sphincter damage.