Background: Abdominal tuberculosis may present clinically as an acute abdomen, either due to bowel obstruction, perforation or mass in right lower abdomen mimic acute appendicitis or appendicular mass. The present study was conducted to assess the outcome of managing cases of abdominal tuberculosis.Materials & Methods: 30 cases of abdominal tuberculosis of both genders underwent blood investigations and radiological examinations. All were managed with surgery. All specimens were assessed histopathologically.Results: Out of 30 patients, males were 17 (56.7%) and females were 13 (43.3%). ESR was raised in 18 (72%) and normal in 7 (28%) cases. Hemoglobin level was normal in 4 (!3.3%), mild in 3 (10%), moderate in 18 (60%) and severe in 5 (16.7%) cases. The bowel resection and anastomosis was performed in 4, right hemicolectomy in 1, ileostomy in 10, adhesiolysis in 10, closure of perforation in 5 and splenectomy in 1 patient. The complications were surgical site infection in 5 cases, wound dehiscence in 2, burst abdomen in 1, anastomotic leak in 2 and fecal fistula in 1 case. Out of 30 cases, 27 cured and 3 expired. The difference was significant (P< 0.05).Conclusion: Surgical management was the bowel resection and anastomosis, right hemicolectomy, ileostomy, adhesiolysis, closure of perforation and splenectomy.