Spontaneous perforation of the colon in full-term neonates is a rare case, with perforation of the cecum being rarely reported.
We present a rare case of spontaneous perforation of the cecum in a term neonate who presented with vomiting and flatulence on the second day of life. Surgical intervention revealed full-thickness perforation in the caecum. Histopathologically, there was no necrotizing enterocolitis and Hirschsprung’s disease.
Clinical awareness in this rare case can help prevent delays in diagnosis and hopefully prompt surgical management.