Abstract
Abdominal tuberculosis and colon carcinomas are commonly seen in patients worldwide. However co-existing gastrointestinal tuberculosis and adenocarcinoma in the same site is unusual and is a rare entity. We here in report an interesting case of tuberculosis and adenocarcinoma occurring concomitantly in the colon, along with metastasis and caseating tuberculosis in mesenteric lymph nodes in a 73-years-old female presenting with pain in abdomen, vomiting and nausea.
Highlights
Colonic carcinoma and abdominal tuberculosis are common conditions affecting different parts of the gastrointestinal tract
67 cases with concomitant tuberculosis and colonic carcinoma present in the same site are reported in the world literature.[3]
We report this case due to its rarity, the diagnostic dilemma encountered and to review the relationship between colon cancer and tuberculosis
Summary
Colonic carcinoma and abdominal tuberculosis are common conditions affecting different parts of the gastrointestinal tract. Abdomen was soft with a mass palpable in the right flank region which was hard in consistency. C.T abdomen & pelvis showed irregular heterogeneously enhancing thickening involving the ceacum, ileo-caecal junction and appendix with periserosal extention and adjacent peripherally enhancing necrotic lymphnode abutting the ceacal wall. On gross examination specimen comprised of a part of ileum with caecum & ascending colon measuring 20 cm. On cutting open a grey-white ulceroproliferative growth was identified at the ileo-caecal junction measuring 3 x 2.5 x 1.7 cm which infiltrated upto the serosa. Histopathological examination of the growth showed a tumor composed of cells arranged in glandular pattern. A diagnosis of coexisting tuberculosis and well differentiated adenocarcinoma caecum was made
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