%0 Case Reports %T When Tuberculosis Defies Appearances: The Tale of a Deceptive Abdominal Mass on Imaging. %A Tkak H %A Hamami A %A Elouali A %A Idri Z %A Miry N %A Benhaddou H %A Bennani A %A Kamaoui I %A Babakhouya A %A Rkain M %J Cureus %V 16 %N 3 %D 2024 Mar %M 38646345 暂无%R 10.7759/cureus.56686 %X Tuberculosis poses a significant public health challenge, especially in highly endemic countries. Rarely, it appears as an abdominal mass resembling a malignant abdominal tumor and can be misleading on imaging, so early diagnosis remains a challenge, and confirmation may require invasive examinations such as laparotomy. The most characteristic radiological appearance is that of a solid, hypervascular, or peripherally enhancing mass with a hypodense center. We present a case of retroperitoneal tuberculosis that simulated a teratoma on imaging. This case highlights the diagnosis difficulties even in endemic countries, despite advances in imaging techniques such as ultrasound and computed tomography.