In the UK, 58 % of TB patients have EPTB, and 5.9 % have ITB. The majority of these patients are born in TB endemic areas [3]. Our patient was born in Bradford, which despite its relatively small population, saw 59 cases of abdominal TB between 1992 and 2002 [4].

Peritoneal TB often has an insidious onset with a constellation of non-specific symptoms. Our patient had a several-month history of abdominal pain, bloating and vomiting preceding her emergency presentation. Intraoperatively,