Diagnostic predicaments in a case of Intestinal obstruction with strictures to distinguish intestinal Koch’s and Crohn’s disease

Abstract

Intestinal Tuberculosis (Koch’s) has become a very common disease which pose a great diagnostic challenge because of its non- specific presentation and broad-spectrum features and lead to delays in diagnosis along with developments of complications. This 70 years old female patient presented with intestinal obstruction with multiple strictures. It was very tough to distinguish Tuberculosis from Crohn’s Disease in this case as the sections for histology were continuously negative for Acid fast bacilli. This case demonstrates the diagnostic predicaments encountered to arrive at a diagnosis of Intestinal Tuberculosis.