A case of closed cecal perforation in a 38-years-old patient was reported . In the case presented, no history of trauma, and no other etiological factors reported in literature was present. After debridement of cecum wall of 1-2 cm. diameter so as to contain the perforation hole, it was suturized primaryly and appendectomy performed. In the histopathologic study; acute necrotizan inflammation in perforated area was reported.

The patient externed from the hospital with full recovery without any complication and this case was one of the rare cecum perforation cases, who, unlike other cases, displayed none of the few probable etiological factors reported in literature.