Unusual presentation of Crohn's Disease

Objective of reporting this unusual case of crohn's disease is twofold. firstly in western literature there appears to be an impression that it is very rare condition in asian countries, although it perhaps is true but the fact remains that it does exist here both in children & adults. main reason why it does not get detected, may be that because it gets drowned in the overwhelming prevalent tuberculous disease in our country as the symptoms in two conditions are somewhat similar. second reason for reporting this case is the symptoms in this patient were predominantly gastrointestinal bleeding requiring several transfusions, which is not a predominant presenting feature in crohn's disease