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Abdominal tuberculosis (TB) occurs only in a subset of TB-infected persons. With a higher incidence in the immunocompromised population, successful treatment includes early diagnosis and initiation of anti-TB medications. This case report discusses a 22-year-old immunocompetent male diagnosed with advanced duodenal and peritoneal TB after perforation requiring emergent surgery and intravenous anti-TB treatment secondary to lack of enteral access.

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