Abstract

Background: Acute intestinal perforation as an early complication of Crohn’s disease in Ghana is rare. Crohn’s disease with caecal perforation in a 38-year-old male is described in this case report. He presented with right flank pain which eventually extended to the hypogastrium. A diagnosis of ruptured appendix was made clinically. Intra-operatively there was a perforation on the caecum which was walled-off by the terminal ileum. A right hemicolectomy was performed and Crohn’s disease of the caecum with perforation was made after histopathological examination of the bowel specimen. Conclusion: The symptoms of CD may mimic many other abdominal conditions for which urgent medical intervention is required, and clinicians must consider it as a differential diagnosis in patients with acute abdomen. Early and accurate diagnosis with prompt management procedures is required to avoid life-threatening complications. Histopathological examination of tissues removed from patients plays a very important role in confirming the clinical diagnosis.