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Abdominal tuberculosis and colonic carcinoma at this part of the world are very common but co- existing abdominal tuberculosis and mucinous adenocarcinoma is unusual and is considered a rare entity. We had a patient who was diagnosed as splenic flexure carcinoma with lung metastasis preoperatively. Due to bleeding tumour, we proceeded with tumour debulking, gastrojejunostomy and creation of end- stoma. Histopathology showed features of both mucinous adenocarcinoma and abdominal tuberculosis. Literature was reviewed and found that very few of such cases have been reported. Most of these cases shared some common features with predominant involvement of younger age group, right sided colonic involvement and predominantly a mucinous adenocarcinoma. The cause-effect relationship between these two conditions has been discussed and debatable. We postulated that this patient most likely had colonic carcinoma initially, then subsequently infected with tuberculosis. However, there is still no definitive cause-effect relation could be ascertained and lots of study are needed to detect or explain the association between these two different pathologies.

Co existing Abdominal Tuberculosis and Mucinous Adenocarcinoma of Colon: Coincidence or Causal Nexus?