Dangol, Raj BhaiKoirala, UdayaJoshi, Bijendra DhojShakya, Sudip RatnaKhambu, AshokKarmacharya, SriyaTimsina, Nischit2026-07-092026-07-092025https://hdl.handle.net/20.500.14572/6923Raj Bhai Dangol Department of General surgery, Kathmandu Model Hospital, Kathmandu, Nepal Udaya Koirala Department of General surgery, Kathmandu Model Hospital, Kathmandu, Nepal Bijendra Dhoj Joshi Department of General surgery, Kathmandu Model Hospital, Kathmandu, Nepal Sudip Ratna Shakya Department of General surgery, Kathmandu Model Hospital, Kathmandu, Nepal Ashok Khambu Department of General surgery, Kathmandu Model Hospital, Kathmandu, Nepal Sriya Karmacharya Department of General surgery, Kathmandu Model Hospital, Kathmandu, Nepal Nischit Timsina Department of General surgery, Kathmandu Model Hospital, Kathmandu, NepalAbstract: Intestinal tuberculosis (ITB) frequently mimics colorectal malignancy in endemic regions, often leading to diagnostic uncertainty. Conversely, colorectal carcinoma may be misdiagnosed and treated as intestinal tuberculosis, resulting in delayed definitive management. We report a case of caecal carcinoma initially diagnosed and treated as intestinal tuberculosis based on clinical findings. Histopathological examination following surgical intervention ultimately revealed adenocarcinoma of the caecum. This case highlights the limitations of empirical antitubercular therapy and emphasizes the need for histological confirmation before initiating long-term treatment.en-USAntitubercular therapycaecal carcinomaintestinal tuberculosisArticle