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The prevalence of tuberculosis is rising. The patient we were introduced to was a 26-year-old woman with no history of medical diseases, except for abdominal pain and vaginal bleeding. During the evaluation, we found high serum levels of cancer antigen-125 and radiological features in the abdominal computed tomography scan, which was more indicative of ovarian cancer. The patient underwent a surgery with the presumptive diagnosis of ovarian cancer. After the surgery, histopathology and acid fast on biopsy specimens revealed diagnosis of ovarian tuberculosis. Keywords: Pelvic tuberculosis, Radiological feature, Adnexal mass