DOI: 10.36347/sjmcr.2016.v04i10.006

Pages: 719-722

Crohn’colitis is a granulomatous form of colitis which often resemblance intestinal tuberculosis. With the increasing cases of Crohn's disease and intestinal tuberculosis now we are in a stage where the difficulty facing physicians in discriminating between the two diseases has increased, and the morbidity and mortality resulting from a delayed diagnosis or misdiagnosis is high. Here, we report the case of a 48 year old male patient presented to the casualty with history of abdominal pain & distension since 1week On examination there was diffuse tenderness with muscle guarding & absent bowel sounds.X ray erect abdomen showed air under the diaphragm. Patient was taken up for emergency exploratory laparotomy. Intra operative finding was, a caecal perforation & a mass in the colon. Histopathologically the lesion was showing both the features of Crohn’s colitis and intestinal tuberculosis. In these report we will be highlighting some of the points a pathologists must keep in mind while differentiating crohn’s colitis from intestinal tuberculosis.