Caecal Perforation Secondary to Idiopathic Caecal Dilatation– An Interesting Case

Abstract

ABSTRACT:Acute pseudo-obstruction of the colon(Ogilvie's syndrome) involves acute colonic distension without mechanical obstruction or stercoroma in a previously healthy colon. Colonic pseudo-obstruction can be diffuse or segmental. The cause for idiopathic colon dilatation is not known. Caecal rupture due to colonic ileus is rare and has a mortality rate of 43 per cent. We report a case of idiopathic caecal dilatation causing caecal perforation. On emergency laparotomy, caecal perforation secondary to segmental caecal dilatation without organic obstruction was found in this patient.