Abdominal tuberculosis (TB) is a rare manifestation of extra-pulmonary TB involving multiple intra-abdominal structures, such as the gastrointestinal tract, peritoneum, mesenteric lymph nodes, liver, spleen, and other abdominal organs. It may have a diverse array of nonspecific symptoms including abdominal pain, weight loss, fever, diarrhoea, constipation, and ascites, sometimes simulating other conditions like Crohn's disease, malignancies, or abdominal infections. Because of this varied clinical presentation, abdominal TB is difficult to diagnose and is usually delayed. This case report intends to present a comprehensive description of a patient with abdominal TB, including the clinical features, diagnostic tests—such as imaging, histopathology, and microbiological examination—and the treatment strategy followed for effective management.
