Though abdominal tuberculosis is common, it is rare to primarily diagnose it through contents of an inguinal hernia. A young patient male presented with bilateral inguinal hernia. He was operated upon and contents of hernia sac were sent to our laboratory. On histopathologic examination showed multible granulomas.Ziehl Neelson staining was done which came out to be positive. Diagnosis of tuberculosis was made and patient was treated with antitubercular drugs effectively.