Plasted abdominal tuberculosis presenting as an obstruction

Peritoneal tuberculosis is uncommon in developed countries, although an increase in this disease has been noted in immigrants from countries with a high prevalence of tuberculosis and in AIDS patients. Abdominal tuberculosis (TB) is the sixth commonest extra-pulmonary TB. TB can spread to the peritoneum through the gastrointestinal tract via mesenteric lymph nodes or directly from the blood, lymph, and fallopian tubes [1,2]. Malignancy and TB may mimic each other leading to misdiagnosis. Ascites of tuberculous peritonitis (TBP) is in exudative form and may commonly be misdiagnosed as carcinomatous peritonitis, especially in the elderly.