Thickened enhancing peritoneum, ascites and omental stranding through to omental cake are imaging features of peritoneal tuberculosis.
This case was biopsy proven with caseating granulomas and mycobaterium identified.
The CA-125 was very elevated in this patient and the patient had neither a fever or any clinical or radiological evidence of pulmonary TB.
Learning point: Despite it being increasingly untrendy to provide succinct clinical information and correlation with all other tests, it as in this case,it is vital in establishing a definitive diagnosis.