We report a case of granulomatous peritonitis in a child, due to Ascaris lu
mbricoides eggs. A 6 year-old child was admitted to the emergency ward with
acute abdomen pain. Upon performing a laparotomy severe adhesive inflammat
ion and adenopathies were found and abdominal tuberculosis was diagnosed. S
pecific treatment was administered. Later the acurage diagnosis of Ascaris
ova peritonitis was made by histopathological examination of tissue removed
during the operation. The pathogenesis is briefly discussed.