Tuberculous enteritis is seen in 1-3% of cases of tuberculosis worldwide. The bacterium enters gastrointestinal tract via hematogenous spread from active pulmonary tuberculosis by swallowing the infected sputum or ingestion of contaminated food products. The most common site is ileocecal region. Diagnosis is challenging as clinical presentation mimics neoplasm or inflammatory bowel disease. We present a case of intestinal tuberculosis in a 40 years old male patient to highlight the pathogenesis, clinical features and histopathology of this case.