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However, transvaginal ultrasound scanning showed normal-appearing ovaries. She underwent a diagnostic laparoscopy for ascitic fluid analysis and biopsy of omental and peritoneal nodules, which revealed a lymphocytic exudate and caseating granulomas, respectively. Interferon-\u03b3 release assay and repeated stains for acid-fast bacilli were negative. She was commenced on antituberculous chemotherapy for a presumed diagnosis of abdominal tuberculosis. Positive culture results 2\u2009weeks later confirmed <jats:italic>Mycobacterium tuberculosis<\/jats:italic> infection. The patient experienced a complete resolution of symptoms within 6\u2009weeks of treatment.<\/jats:p>","DOI":"10.1136\/bcr-2019-229624","type":"journal-article","created":{"date-parts":[[2019,6,19]],"date-time":"2019-06-19T06:45:15Z","timestamp":1560926715000},"page":"e229624","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Abdominal tuberculosis with a Pseudo-Sister Mary Joseph nodule mimicking peritoneal carcinomatosis"],"prefix":"10.1136","volume":"12","author":[{"given":"Amine","family":"Awad","sequence":"first","affiliation":[{"name":"Whipps Cross University Hospital, Barts Health NHS Trust, London, London, UK"},{"name":"Blizard Institute, Barts and the London School of Medicine and Dentistry, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Pampiglione","sequence":"additional","affiliation":[{"name":"Whipps Cross University Hospital, Barts Health NHS Trust, London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaker","family":"Ullah","sequence":"additional","affiliation":[{"name":"Whipps Cross University Hospital, Barts Health NHS Trust, London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,6,18]]},"reference":[{"key":"2025082803473317000_12.6.e229624.1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2009.118133"},{"key":"2025082803473317000_12.6.e229624.2","doi-asserted-by":"crossref","first-page":"207","DOI":"10.12998\/wjcc.v4.i8.207","article-title":"Abdominal tuberculosis: Diagnosis and demographics, a 10-year retrospective review from a single centre","volume":"4","author":"Nayagam","year":"2016","journal-title":"World J Clin Cases"},{"key":"2025082803473317000_12.6.e229624.3","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.74.874.459"},{"key":"2025082803473317000_12.6.e229624.4","doi-asserted-by":"crossref","first-page":"C86","DOI":"10.12968\/hmed.2018.79.6.C86","article-title":"Diagnosis and management of intra-abdominal tuberculosis","volume":"79","author":"Roberts","year":"2018","journal-title":"Br J Hosp Med"},{"key":"2025082803473317000_12.6.e229624.5","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.2214\/ajr.168.6.9168707","article-title":"Still the great mimicker: abdominal tuberculosis","volume":"168","author":"Jadvar","year":"1997","journal-title":"AJR Am J Roentgenol"},{"key":"2025082803473317000_12.6.e229624.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2007.01337.x"},{"key":"2025082803473317000_12.6.e229624.7","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1016\/j.jsurg.2011.02.009","article-title":"Powell\u2019s pearls: eponyms in medical and surgical history. 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