case_images: PMC6044367_01
case_images: An ulcerated mass in the hepatic flexure.
case_images: imcrj-11-151Fig1.jpg
case_images: PMC6044367_01_imcrj-11-151Fig1.jpg
case_images: f1-imcrj-11-151
case_images: As the endoscope could not pass through the hepatic flexure, the procedure was stopped (Figure 1).
case_images: The histology showed ulceration and granulation tissue formation, foci of necrotizing granulomatous inflammation in lamina propria with adjacent mild crypt regenerative changes (H&E, original magnification, 10x).
case_images: imcrj-11-151Fig2.jpg
case_images: PMC6044367_01_imcrj-11-151Fig2.jpg
case_images: f2-imcrj-11-151
case_images: The pathobiological features revealed ulceration and granulation tissue formation, foci of necrotizing granulomatous inflammation in lamina propria with adjacent mild crypt regenerative changes (Figure 2).
case_images: Acid-fast positive bacilli in the granuloma (Ziehl-Neelsen's stain, 100x).
case_images: imcrj-11-151Fig3.jpg
case_images: PMC6044367_01_imcrj-11-151Fig3.jpg
case_images: f3-imcrj-11-151
case_images: Moreover, Ziehl-Neelsen stained sections (Figure 3) revealed few acid-fast positive bacilli in the granuloma.
case_images: The chest X-ray showed no evidence of pulmonary involvement.
case_images: imcrj-11-151Fig4.jpg
case_images: PMC6044367_01_imcrj-11-151Fig4.jpg
case_images: f4-imcrj-11-151
case_images: ITB was negative. In order to rule out pulmonary TB, radiography was performed with no evidence of pulmonary involvement (Figure 4).