Abstract
Pott's disease of the spine with psoas abscess is currently rare form of Extra- pulmonary tuberculosis (TB) in the developed countries, however it is still seen in areas where TB is endemic. We describe a rare case if not the first (according to our knowledge) of bilateral ruptured psoas abscess with extensive tissue necrosis and pelvic organs exposure with limited neurological deficit presented late in young girl. In this case Pott's disease was associated with extensive tissue necrosis exposing pubic bones, urinary bladder and psoas muscle.