A 25 yr old young male presented with swelling in submental region (Figure 1) since 8 months. This swelling was subjected to reduce in size on pressing leading to purulent discharge from foramen caecum. There was no history of dysphagia or odynophagia.On examination there was 5 x 3 cm size swelling seen in submental region with no localised sign of inflammation. The swelling moved on protrusion of tongue and deglutination. The swelling was soft in consistency and lead to purulent discharge from foramen caecum on pressing. There were no signs of cervical lymphadenopathy. Ultrasonography and CT scan were suggestive of 4.4 x 1.8 cm size thyroglossal duct cyst in sublingual region opening into foramen caecum, with no significant lymphadenopathy (Figure 2). Thyroid gland was normal. Thyroid profile of the patient was normal (euthyroid). Pus culture was suggestive of staphylococcal infection.