Large ulcer with an elevated margin Intestinal tuberculosis (TB) is rarely seen in western countries, affecting mainly immigrants and immunocompromised patients. However, the incidence of abdominal TB has been steadily increasing for the past 20 years and a reported 2–3% of patients with abdominal TB have isolated colonic involvement. Intestinal TB is usually a diagnostic challenge, particularly in the absence of active pulmonary infection. It may mimic many other abdominal diseases, such as other infectious processes, tumors, periappendiceal abscess, and Crohn's disease (CD). Several cases of intestinal TB have so far been described including a few reports of intestinal TB mimicking CD. The differential diagnosis between TB and CD is important because if TB is suspected, empiric treatment with antituberculous drugs should be considered, especially if an immunosuppresive treatment for CD is to be initiated.
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