Abstract
A 31-year-old man came to the hospital complaining of hemosputum. Chest X-ray and CT scan showed an extrapleural mass on the right side of the vertebra, diagnosed as a neurogenic tumor. He underwent thoracoscopic surgery, and a round but uncapsulated mass was found in the right side of thoracic vertebra. Intraoperatively, caseous pus was discharged from the mass, and it was diagnosed as a tuberculous abscess histopathologically. A solitary paravertebral tuberculous abscess is rare, and it is very difficult to correctly diagnose preoperatively. It is considered that the thoracoscopic procedure is useful to diagnose and complete resection to treat intrathoracic extrapulmonary tuberculosis.