A Rare Case Report of Isolated Tuberculous Caecal Perforation Presented as Acute Appendicitis

Abstract

Background: Koch’s abdomen is a common problem in India, with significant morbidity and mortality. A
tuberculous caecal perforation without the involvement of adjacent ileum and ascending colon is very rare.
Case Presentation: We report the case of a 23 years old man with clinical features of acute appendicitis.
On laparotomy showed a caecal perforation with normal ileum, ascending colon and appendix. A caecal
resection with end to end ileoascending anastomosis done. Histopathology confirms tuberculous granulomas
of the caecum.
Conclusions: We report this extremely uncommon case of caecal tuberculosis. This is very important as the
incidence of tuberculosis is increasing in developing countries as well as developed.