As a small (21G) needle was used for decompression, repair of the temporary caecostomy site was not required.
Indications for caecostomy include palliation of malignant bowel obstruction, decompression in chronic intestinal pseudo-obstruction, and administration of anterograde continence enemas in patients with defecation disorders, particularly in patients with spinal cord injury or severe disability [2-4].
This case demonstrates that, with careful review of CT images, needle caecostomy can be safely performed in select patients as a stabilising measure to reduce risk of caecal perforation and buy time to definitive surgery.
There are limitations to the technique of needle caecostomy. It is highly operator dependent and should only be performed after careful review of CT images by a surgical trainee or a surgeon with appropriate experience, followed by radiological or surgical confirmation of technique success.
For small perforations, primary repair may be an option with least morbidity thus reducing the morbidity associated with exteriorization or caecostomy
At operation after exclusion of distal colonic lesion, a tube caecostomy is performed through the site of perforation if possible.
Ken Harris et al used endotracheal tube for caecostomy. (15) Abdomen is closed with drainage.
Caecostomy tube is usually removed after one week but we delayed it because patient had a spine fracture and was on bed rest & not ambulatory for three weeks.
to Ogiliviie' syndrome by Laparoscopic tube caecostomy. Journal of Laparoscopic Surgery Oct 1995 5  339-341.
Most common operation performed was resection of ileal segment and end to end ileo-ileal primary anastomosis--34%, release of adhesions and bands--30%, hernia repair in 20%, hemicolectomy in 8% cases, reduction and untwisting of volvulus in 4%, resection of jejunal segment and end to end jejuno-ileal primary anastomosis 2% and tube caecostomy in 2% case.
Tube caecostomy 1 2% TABLE 5: Previous Surgeries Sl No.