Sarada Budamala1, Adeppa Penugonda2, N. V. Ramanaiah3, B. Srihari Rao4, G. V. Prakash5, Shobarani B6, Gopi Krishna7
Carcinoma caecum/ ascending colon accounts for up to 14% of colorectal tumours as reported from the developed countries.1,2 Carcinoma of caecum is more common in western countries but it is not a rare disease in our country.3 Carcinoma in the right colon and Caecum more often present with melena and fatigue associated with anaemia, or abdominal pain if the tumour is advanced.1 There may be a mass palpable in the right iliac fossa. Sometimes it is discovered unexpectedly at operation for acute appendicitis. A quarter of a caecal carcinomas present with the signs suggestive of appendicitis. Complications like this will obscure the underlying malignancies and cause a delay in diagnosis. We hereby report one such case of carcinoma of caecum with perforation and forming an abscess was initially diagnosed as appendicular abscess.