Hepatic Scalloping - A Rare Presentation of Abdominal Tuberculosis

Introduction: Peritoneal involvement is the most common feature of abdominal tuberculosis (TB).CT findings of peritoneal TB include peritoneal thickening, ascites with intestinal adhesions, necrotic lymph nodes, omental caking and rarely visceral scalloping. Scalloping of visceral organs is described in pseudomyxoma peritonei, peritoneal carcinomatosis, and malignant ascites but not in tuberculosis. Case report: Here we report one such unusual case where a male patient presented with fever and abdominal pain, went through a set of investigations such as montoux test, chest radiograph, pleural fluid analysis, USG and CT abdomen, to attain a diagnosis of abdominal tuberculosis and was found to have visceral scalloping on CT abdomen as a rare radiological finding.