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Jacob Frankovitz, Kyle W Penny , Danielle L Barnard
Peritoneal Tuberculosis (pTB) is a rare manifestation of Mycobacterium tuberculosis. It may occur along with or in the absence of pulmonary TB. The presenting symptoms of ascites, weight loss, and abdominal pain are vague and can mimic that of abdominal malignancies. This report describes a previously healthy 31-year-old man with peritoneal pTB who presented for abdominal pain after a motor vehicle collision (MVC). A constellation of positive gross visualization of white tubercles, ascitic acid fast bacilli, noncaseating granulomas, elevated adenosine deaminase, and mycobacterium culture confirmed the diagnosis of pTB. This report will review the diagnostic approach to pTB.