Background: Tuberculous peritonitis is a serious condition with rising prevalence in recent years. It is especially common in those patients with risk factors such as an immunocompromised state, chronic kidney disease, cancer, or cirrhosis/liver disease. Spread is typically hematogenous from pulmonary foci.Case Report: We report on a 67-year-old woman who presented with initial complaints of fever and nausea. There is no history of diabetes, tuberculosis and hypertension. An abdominal ultrasound of this patient demonstrating ascites and cholelithiasis emerged. An open cholecystectomy approach to evacuate the gallbladder stones and ascites that occurred in this patient.Conclusion: The biopsy in our patient successfully proved the diagnosis and the patient has undergone an uncomplicated procedure in our facility.