The incidence of tuberculosis in pregnancy is low; moreover, peritoneal tuberculosis (PT) in pregnancy is uncommon as infertility is the commonest sign in case Tuberculosis involves the genitals and/or peritoneum1. The clinical manifestations of tuberculous peritonitis progress insidiously. The present study reported here a case of tuberculous peritonitis in pregnancy presenting with ascites. Extrapulmonary tuberculosis (EPTB) has become an important clinical problem in past few years. Pregnancy being an immune compromised state increases the risk for getting tubercular infection and reactivation of primary pulmonary tuberculosis infection in women.