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Background: Sinus tracts are rare, tubular structures that connect deeper tissues to the skin. They can be a complication of abdominal wall surgery. The pathophysiology involves factors such as liquefaction of adipose tissue, infection, and retention of foreign bodies. Inadequate surgical drainage can lead to chronicity, culminating in the formation of an infectious sinus in the abdominal wall, clinically known as a sinus. Case report: A 32-year-old woman with a history of previous 2 caesarean sections presented with a long history of on-and-off pus discharge from the caesarean scar. She received multiple courses of antibiotics previously. Pus culture for microbiological analysis was found negative for organisms including Mycobacterium tuberculosis. Magnetic Resonance Imaging with contrast revealed a likely vascular/inflammatory collection along the rectus sheath communicating as a Utero-Vesico-cutaneous sinus tract. A methylene blue-stained tract facilitated complete removal of the tract. Conclusions: Tuberculosis is known to present with similar symptomatology, especially years after abdominal surgery, and needs a thorough preoperative exclusion. In our case, the presence of a non-tubercular granulomatous inflammation with a suture seen along the tract clinched the diagnosis.