A 22-year-old woman presented with history of upper abdominal pain, mild in intensity, dull aching, nonradiating, associated with occasional nonbilious vomiting since 1 month. There was no clinical evidence of abdominal lump or lymphadenopathy. Routine investigations are summarized in Table 1. There was mild microcytic hypochromic anemia. Upper GI endoscopy revealed multiple small nodules with erosions in the duodenum (Figure 1B). Multiple conglomerated lymph nodes at porta hepatis together with thickening of antropyloric region were seen on CECT. Biopsy from duodenal erosions showed mixed inflammation with multiple noncaseating granulomas (Figure 2C). Duodenal biopsies were positive for TB GeneXpert and TB MGIT culture. Patient has completed 9 months of antitubercular drug therapy. Repeat upper GI endoscopy at the end of 5 months revealed healed duodenal lesions.