Abstract:Perforation of healthy caecum is an uncommon condition. It may occur as result of distal large bowel obstruction, unrelieved volvulus of the caecum, trauma to right side of abdomen or ingested foreign bodies, e.g. a fish bone or tooth pick 1 .It may occur by endoscopy & very rarely disease like typhoid, tuberculosis, chrohn's disease, amoebiasis & malignancy. Spontaneous perforation of caecum in absence of any of above is exceedingly rare. We repot a case here following spinal injury with review of literature.
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