<![CDATA[Background: Koch’s abdomen is a common problem in India, with significant morbidity and mortality. Atuberculous 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 caecalresection with end to end ileoascending anastomosis done. Histopathology confirms tuberculous granulomasof the caecum.Conclusions: We report this extremely uncommon case of caecal tuberculosis. This is very important as theincidence of tuberculosis is increasing in developing countries as well as developed.]]>
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