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Background In recent studies, the level of adenosine deaminase (ADA) in effusion liquids was used for the diagnosis of tuberculous peritonitis (TBP).But it is often impossible to obtain the sample.The goal of this study is to evaluate the diagnostic value of serum ADA level in TBP patients.Methods In this study, thirty hospitalized TBP patients who were ascites smear-positive or ascites culture-positive and 33 non-TB outpatients were selected.Serum ADA level was measured in the laboratory of Tianjin Haihe Hospital.