An 18-year-old male patient presented with a cold abscess affecting his wrist and subsequently developed diarrhoea. The DCBE erect view shows contraction of the ascending colon and, in particular, the caecum. The ileocaecal valve is irregularly contracted (arrows) and the distal 2cm of the terminal ileum is irregular in outline, with at least one short sinus track. Acid-fast bacilli were isolated from the cold abscess and from the colon.
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