Tuberculosis is a typical reason for pericardial emission particularly in the emerging nations. Regardless of the decrease in mortality because of tuberculosis and a general diminishing in the occurrence, tuberculosis and its complexities stay a genuine medical issue. Objectives: The main objective of the study is to analyse the tuberculous pericardial abscess presenting as multiple pericardial effusion and cardiac tamponade. Material and methods: This randomized control trial study was conducted in Rashid Latif medical complex, Lahore during November 2020 to August 2021. The data was collected from 10 patients. Results: The patients was tachypnoeic, poisonous looking and in sepsis. Their important bodily functions showed the accompanying: respiratory pace of 24 breaths/min and tachycardia of 110 beats/min. Clinical assessment upheld the finding of heart problems. Conclusion: It is concluded that tuberculosis stays a genuine medical condition. In this manner confusions like pericarditis, tamponade and boil are inescapable and in spite of satisfactory medication treatment, 33% to one portion of the patients in the long run require Pericardiectomy