A 32-year-old-woman G3P2L2 (Gravidity=3, Parity=2, Living child=2) with abdominal pain and abnormal vaginal bleeding referred to Ayatollah Rouhani Hospital in Babol. Pain was localized in the hypogastrium area for 3 months. The patient had menometrorrhagia, fever and shivering, and development ascites and diagnosis of pelvic mass required hospitalization.
 She has been addicted to opium for 5 years and also used methadone. Her vital signs were stable and her lung sounds were clear but sometimes she had a fever of about 38. There was a 53x65 mm cyst in left ovary region in ultrasonography but the ovaries, uterus, liver, kidney and spleen were normal and ascites fluid was reported.
An ovarian malignant mass was reported in spiral CT scan (computerized axial tomography) with contrast. The patient underwent laparotomic surgery in which her uterine tubes were swollen with adhesion in both ovaries with multiple military peritoneal deposits. No mass has been observed in the abdomen and pelvis. The results of histologic examination demonstrated abdominal tuberculosis on her uterus, tubes, omentum, liver and intestinal surface. The results of laboratory test are shown in table 1. After surgery, she received anti-tuberculosis medical treatment using four drugs: isoniazid, pyrazinamide, ethambutol hcl and rifampin.