Background: A 76-year-old Moroccan patient with a medical history of sigmoid carcinoma suffered from weight loss of 15 kg and abdominal pain. Laparoscopy showed disseminated miliary peritoneal lesions, prima vista suspicious for disseminated peritoneal cancer spread.
Methods: Patient's medical history was reprocessed and compared to recent literature via PubMed.
Results: Pathological evaluation revealed granulomas and an infection with miliary intraabdominal tuberculosis (TB) was proven.
Conclusion: Symptoms of TB may vary and findings can be misleading. An interdisciplinary approach is needed for diagnosis and treatment.
Keywords: Granuloma; Miliary abdominal lesions; Peritoneal carcinomatosis; Sigmoid carcinoma; Tuberculosis.