SPONTANEOUS CAECAL PERFORATION FOLLOWING LOWER SEGMENT CAESAREAN SECTION: A RARE CASE REPORT AND LITERATURE REVIEW

Spontaneous perforation of the caecum is an unusual surgical emergency, particularly in post–caesarean section patients. We report the case of a 28‐year‐old female who developed a cecal perforation six days after a lower segment caesarean section (LSCS). The patient exhibited signs of peritonitis and shock, and emergency surgery revealed a 2 × 2 cm perforation on the anterior aspect of the cecum with significant faecal contamination. A limited Ileo caecal resection with diversion loop ileostomy was performed with subsequent recovery. This report reviews potential pathophysiological mechanisms—including postoperative ileus and Ogilvie's syndrome—and discusses various management strategies.