A 38-year-old female underwent exploratory laparotomy after presenting with two-months history of abdominal distension and intermittent pain, along with constipation, anorexia, and significant weight loss (Fig. 5). She provided no history of close contact with TB patient. She underwent an adhesiolysis of intestinal and omental, also peritoneal biopsy which was confirmed a chronic granulomatous inflammation caused by TB without any signs of malignancy (Fig. 6). The physical examination on subsequent presentation showed no adventitious breath sounds, an abdominal scar from the laparotomy, without organomegaly. Her chest x-ray was showed no abnormalities, while abdominal ultrasonography revealed adnexal cystic mass, and minimal ascites. However, her whole abdominal CT-scan prior surgery just confirmed the signs of malignant ascites. She was slight anemia with a haemoglobin of 9.8 g%, and her serum level of Ca-125 was slightly increase 74.48 IU/mL. She was then diagnosed with ITB and received 6 months of ATD.