Introduction: Tuberculosis is a common pathology in TB-endemic areas and is not unique in developed countries in immigrants or immunosuppressed individuals.

Case Report: This study reports a case of giant tuberculous abscess. This is about a 56 years old man with no particular history who consults for a gluteal mass of progressive installation over 3 years in a context of apyrexia with general state preservation.

Discussion: The bacteriological examination and culture in the environment LOWENSTEIN and JENSEN and histological study confirmed the diagnosis, the patient benefited from excision and surgical drainage associated with anti-bacillary medical treatment for 10 months, and the evolution has been favorable.

Conclusion: The diagnosis of extra-pulmonary TB is often difficult. This case has been reported to increase physicians' awareness of soft tissue TB. Although it is rare, doctors may encounter similar cases in the future.