Incidental found tuberculous peritonitis during hernioplasty

We report the case of a 71-year-old male with palpable and painful left inguinal mass who underwent open hernioplasty. During the operation, ~700 ml of ascitic fluid and multiple nodules on the peritoneum were observed upon incision of the hernia sac. Culture and pathological examination confirmed a diagnosis of peritoneal tuberculosis (TB). Abdominal TB is rarely presented as a hernia. We review ten cases of abdominal TB associated with abdominal hernias and discuss surgical techniques and further management options.