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Tuberculosis is characterized by cold abscess, which classically lacks the usual signs and symptoms of inflammation. This case report highlights an atypical presentation of tuberculous cold abscess in the form of appearance of massive swelling in the back overnight after a blunt trauma, mimicking post-traumatic hematoma. A 32-year-old man came to our outpatient department with sudden swelling over the right side of the upper back (25× 8× 8 cm) and loin (10× 4× 4 cm) after a fall from 1.5 to 2 m height the previous night. The possible di