Abstract: Objective To explore the imaging manifestations of cold abscess in the groin area and analyze it in combination with the literature to provide favorable support for the diagnosis of intestinal tuberculosis abscess in the future. Method A case of Intestinal tuberculosis with abscess to the right groin area was analyzed retrospectively. Result The characteristic manifestation of cold abscess in the groin area is spreading to the periphery and descending in a stream-like manner, with no upward spreading trend. The abscess in enhanced CT scans is enhanced in a ring shape,MRI manifestations are mostly confounding signals with low T₁WI and high or slightly higher T₂WI.Conclusion Intestinal tuberculosis complicated by cold abscess in the inguinal area is very rare. It can be differentiated by CT, MRI and other imaging findings to improve the preoperative diagnosis rate, provide an effective basis for clinicians to formulate treatment plans, and reduce the chance of misdiagnosis and missed diagnosis.

Key words: Ileal tuberculosis, Groin, Cold abscess, Imaging features, Literature analysis