Solitary Abdominal Wall Tuberculosis: A Rare Complication in a Type 2 Diabetic Patient

Solitary abdominal wall tuberculosis is a rare and often misdiagnosed form of extrapulmonary tuberculosis, primarily due to its non specific clinical presentation.It can mimic neoplastic or pyogenic lesions, leading to frequent misdiagnosis or delayed identification.A high index of suspicion is crucial, especially in patients with risk factors such as immunosuppression, poorly controlled diabetes, or living in endemic areas.We present the case of a 43-year-old man who initially had a chronic, painless abdominal wall mass that later became symptomatic.Pathological examination of the biopsy confirmed a tuberculous granuloma, highlighting the importance of thorough evaluation when encountering atypical soft tissue masses.