Background: Tuberculosis is known to affect almost any organ in the body. Retro-pharyngeal abscess (RPA) caused by tuberculosis is a relatively uncommon manifestation of extra-pulmonary tuberculosis within the head and neck. The symptoms which may include neck pain, dysphagia, sore throat may not be classically present. Case Report: Here we report an unusual case of tuberculous retropharyngeal abscess presenting as dysphagia in a middle aged male, without any symptoms or signs of tuberculosis. Conclusion: Though uncommon in adults and difficulties associated in diagnosing this entity, it is imperative to early diagnose and treat this condition to prevent fatal consequences such as life-threatening airway obstruction.