Background: Abdominal TB and cervical tuberculous lymphadenitis are both extrapulmonary forms of tuberculosis, albeit they may be coupled with a primary pulmonary focus. Abdominal tuberculosis refers to TB of the digestive system, peritoneum, omentum, mesentery and its lymph nodes, as well as other solid intra-abdominal organs such as the liver, spleen, and pancreas. Aim’s & Objectives: To evaluate the usefulness of clinical signs and symptoms for identification and early detection of abdominal tuberculosis in presence of tuberculous cervical lymphadenitis. Methods & Materials: Patients of both sexes between the ages of 13 and 80 who presented to the Surgery Department with cervical lymphadenopathy of tuberculous origin and who met the inclusion criteria were included in the study with their permission. A full medical history, physical examination, and multiple laboratory and radiographic tests were performed. When the benefits outweighed the risks, histological proof was sought. Results: Our study also showed a 17.5% prevalence of abdominal tuberculosis among tubercular cervical lymphadenopathy cases. Abdominal tuberculosis has a prevalence of 1.42% amongst all cases of tuberculosis according to RNTCP 2011 data. The high prevalence showing a strong correlation amongst tubercular cervical lymphadenopathy and abdominal tuberculosis with a p-value of < 0.0001 using the z-test for proportions. Conclusion: The patients should be followed up diligently to ensure complete treatment and resolution of disease and then advised to report if any symptoms reoccur for early identification of any relapse and early institution of anti-tubercular treatment to minimize complications and reduce the morbidity and mortality still associated with abdominal tuberculosis.