An Unusual Presentation of Crohn's Disease - A Case Report

Introduction In a developing country like India, which is endemic for tuberculosis a patient presenting with features of intestinal obstruction is often misdiagnosed as abdominal tuberculosis and wrongly treated for the same. With the changing epidemiology of Crohn's disease (CD) and intestinal tuberculosis (ITB), we are in an era where difficulty in discriminating between the two diseases has increased, and the morbidity and mortality resulting from a delayed diagnosis or misdiagnosis is considerably high. Observation This case report presents a case of subacute intestinal obstruction misdiagnosed as abdominal tuberculosis treated with anti-tubercular therapy for 2 years later on underwent resection and anastomosis for the same and proved to be Crohn's disease by histopathological examination. Conclusion The aim of this report is to highlight and distinguish the two disease to prevent undue intervention and decrease morbidity and mortality caused due to delayed diagnosis or misdiagnosis.