“…Several studies have demonstrated the usefulness of ADA in peritoneal fluid for the diagnosis of peritoneal tuberculosis [5][6][7][8][9] .It can occur anywhere in the peritoneum, meso, or omentum, and its dissemination can be hematogenous, lymph node, gastrointestinal, tubal rupture, and more rarely, by BCG-therapy [9][10][11] . The clinical presentation is often nonspecific, with fever, abdominal pain, and weight loss being the most common symptoms 8 , as reported in the case.…”