# Crohn’s Disease Previously Mistreated as Intestinal Tuberculosis Complicated with Ileocecal Lump: A Case Report

## TL;DR

A man in Southeast Asia was initially misdiagnosed with intestinal tuberculosis but later found to have Crohn's disease, highlighting diagnostic challenges in regions with high TB prevalence.

## Contribution

This case report emphasizes the diagnostic difficulties of Crohn's disease in tuberculosis-endemic regions and the need for advanced diagnostic tools.

## Key findings

- A 25-year-old male was misdiagnosed with intestinal TB but later confirmed to have Crohn's disease.
- Histopathological analysis after hemicolectomy confirmed the correct diagnosis.
- The case underscores the importance of multidisciplinary approaches in complex diagnoses.

## Abstract

In Southeast Asia, the higher prevalence of Intestinal tuberculosis (TB) challenges the diagnosis of Crohn's disease (CD) due to their overlapping symptoms. This case involves a 25-year-old male misdiagnosed with Intestinal tuberculosis presenting with abdominal pain, weight loss, and bowel ulceration. Recurrence after anti-tubercular therapy led to further investigation paving to right hemicolectomy and histopathological analysis confirming Crohn's disease. This case highlights the complexity of the diagnosis of Crohn's disease in tuberculosis-prevalent areas, stressing the clinical importance, advanced diagnostics tools, and multidisciplinary approach for effective intervention.