We present a case of a spontaneous caecal rupture in a 70 years old man with history of undergoing Trans Urethral Resection of Prostate (TURP) prior to the above presentation. The patient presented postoperatively (after TURP) with complains of abdominal distension, pain and vomiting was absent and tachycardia along with respiratory distress. No associated intra abdominal pathology was found. Early diagnosis and prompt surgical intervention is the only way for management of such cases.