Abstract
Caecal leiomyomas are rare gastrointestinal tumours. They are predominantly asymptomatic and typically incidentally diagnosed during colonoscopies. The treatment of choice is complete resection of the lesion. We present a case of a patient with a two-centimetre caecal leiomyoma who underwent right hemicolectomy. Although there are limited reported cases of caecal leiomyomas undergoing endoscopic resection, our literature review suggests that caecal lesions less than 2 centimetres are generally considered safe for endoscopic resection. This case underscores the significance of considering less invasive techniques for caecal lesions with a diameter less than 2 centimetres.