Tuberculosis of appendix occurs as primary or secondary disease, the former being rare with
incidence of 0.1% to 0.6%.1,2 The pathogenesis of this isolated lesion is not clear and presentations
are varied. A high index of suspicion and great clinical acumen is required for preoperative
diagnosis, which should always be confirmed by histopathology. Appropriate treatment
includes appendicectomy with postoperative antitubercular chemotherapy. Tuberculosis being
endemic in our country, it is a must to send all appendicectomy specimens for histopathology
examination, so as to prevent misdiagnosis and prevent further complications.