# A Rare Case of Caecum Perforation Secondary to Campylobacter jejuni Infection

## TL;DR

A 44-year-old woman developed a rare caecum perforation after a Campylobacter jejuni infection, requiring emergency surgery and recovery.

## Contribution

Highlights a rare complication of C. jejuni infection and emphasizes the need for vigilance in monitoring patients.

## Key findings

- The patient's C. jejuni infection progressed to caecum perforation despite initial treatment.
- Emergency right hemicolectomy was required, and the patient fully recovered.
- The case underscores the importance of radiological investigations for worsening symptoms.

## Abstract

Campylobacter is a common cause of bacterial gastroenteritis worldwide. This report presents a rare case of a 44-year-old female who developed a caecum perforation following an initial diagnosis of Campylobacter jejuni infection. The patient initially presented with several episodes of diarrhoea, vomiting, and abdominal pain. Initial investigations confirmed an uncomplicated C. jejuni infection, which was treated with antibiotics and supportive measures. Despite treatment, the patient's symptoms persisted and worsened, and caecum perforation was confirmed on the abdomen and pelvis computed tomography. The patient underwent an emergency right hemicolectomy with an end ileostomy and was discharged home on postoperative day 14 after she made a full recovery. Healthcare professionals should be vigilant for possible severe complications in patients with C. jejuni infection. Frequent abdominal examinations with radiological investigations should be considered when symptoms are worsening to promptly identify any potentially life-threatening complications similar to those in the presenting case.