Ovarian and peritoneal localizations of tuberculosis are rare. They raise the problem of differential diagnosis with malignancy. In this regard, we reported the case of a 25-year-old woman who presented with bilateral pseudo tumoral ovarian mass mimicking an advanced ovarian carcinoma with ascites. Extemporaneous examination of the peritoneum confirmed the diagnosis of tuberculosis and avoided bilateral annexectomy that could compromise the fertility of the patient.
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