Intestinal Behcet?s disease may cause serious complications. Massive hemorrhage, fistulisation and intestinal perforation are encountered complications in approximately 50% of patients suffering from intestinal Behcet?s disease. The main sites of involvement are the terminal cecum and ileum. In patients with Beh?et syndrome, CT is advocated for early detection of complications as well as for exclusion of other abdominal pathologic conditions but there is no specific exam. The report of histology in conjunction with the clinical history and the presence of oral ulcers, uveitis and suspected cutaneous lesions suggests the diagnosis. The optimal medical treatment of Beh?et syndrome has not yet been well established. In rare cases surgery must be required to control the disease. We describe a case of ileal perforation with abscess in a 26-year-old female with Behcet\'s disease.