The Bartholin gland is the major vestibular gland situated deeply within the posterior parts of the labia majora. Bartholin’s cyst generally presents as swelling or mass at the vulva. Contrary to the usual presentation, A 22-year unmarried female came to our out-patient Department of Obstetrics and Gynecology, MMIMSR, a tertiary care hospital, with Severe throbbing pain on the left side of the perineal area, associated with massive Swelling of the perineum and inability to sit or walk due to pain since 10 days. On local examination - A big tense 10 x 12 cm swelling with tenderness extending from the fourchette to the left ischiorectal fossa inferiorly and left labia majora superiorly with exudation of pus from the Bartholin gland opening. Marsupialization& Drainage of ruptured infra levator Bartholin’s abscess done under saddle block anesthesia. Intraoperatively, ~ 300ml pus was drainedand the space closed with interrupted catgut sutures. Drain kept in situ for 1 week. The Cyst wall was excised completely. Foul-smelling yellowish pus was sent for culture & sensitivity. Histopathology report – suggestive of BARTHOLIN GLAND ABSCESS. Accurate early diagnosis in time and marsupalisation of abscess is advocated to prevent rupture and further complications.