*Muhammad Iqbal Khan, **Ahmed Nurus Sami and *Zyad Afzal Kiani
*Department of Surgery Azad Jammu and Kashmir Medical College Muzaffarabad Pakistan.
** Department of Surgery Islamic International Medical College Rawalpindi Pakistan
Abstract: Malignant cologastric fistula is a rare pathological entity. We report case of a 39 year old man with infiltrating colonic adenocarcinoma of splenic flexure invading the adjacent stomach making a gastrocolic fistula. Instead of separating the two viscera an enbloc removal of the tumor by extended left hemicolectomy, partial gastrectomy and distal pancreatectomy was performed. The surgical pathology report showed complete resection with clear margins of both colon and stomach.
Key Words: Cologastric fistula, Gastrocolic fistula, Colonic Adenocarcinoma infiltrating stomach