BACKGROUND:

The abdominal cavity its considerate the 6th most frequent extrapulmonary presentation of tuberculosis. This disease can affect other anatomy sites of gastrointestinal tract, peritoneum and hepatobiliary system.

OBJECTIVE:

To report an infrequent variant of intestinal tuberculosis, an illness known as the "great simulator", related to pregnancy.

CLINICAL CASE:

a 17-year-old primigravidum patient without previous history, asymptomatic, non-immunological involvement, with intestinal tuberculosis and multiple perforations, whose were identified during cesarean section. The diagnosis was established after of microbiological and histopathological studies. The evolution of the mother and the newborn were satisfactory and continued with antiphimic treatment.

CONCLUSION:

Despite great advances in medicine, tuberculosis remains a serious public health problem with a high rate of morbimorbidity. The transcesarean finding, the strong suspicion of tuberculosis and early treatment limited the morbimorbidity of our patient.