Abstract
Tuberculosis is one of the major health problems in India. Genitourinary tuberculosis, 20 % of all extrapulmonary tuberculosis, is the most common extrapulmonary system to be affected by this disease. Kidney is the most common genitourinary organ to be affected. A 50-year-old female presented with renal tuberculosis presenting as right upper thigh abscess, an uncommon presentation managed effectively by anti-tubercular therapy (ATT) and nephroureterectomy.