Introduction: An otogenic brain abscess is a common ENT problem but an otogenic TRAPEZIUS abscess can also be experienced in otolaryngological practice, particularly in patients with chronic suppurative otitis media.Case Report: We report a rare case of a TRAPEZIUS abscess in an eight-year-old girl who presented at the ENT, Head and Neck Surgery Postgraduate Medical Institute, Lady Reading Hospital, Peshawar, Pakistan on 15th December, 2010, with a presenting complaint of discharge from her right ear that had been occurring for the last five years. An exploration of the patient's right ear was performed, which showed that there was extensive cholesteatoma and tissue granulation tissues the antrum, attic and middle ear. The TRAPEZIUS abscess had spread down to her back and was repeatedly drained. The patient was discharged on the 14th day following admission after making a complete recovery. After a regular follow-up period the child has remained disease free. The rare nature of this case prompted us to write this report.Conclusion: Chronic suppurative otitis media is a common clinical problem in developing countries. It can result in a number of complications if not treated properly. Although an otogenic TRAPEZIUS abscess is a rare complication of chronic suppurative otitis media, it must be kept in mind.