Abstract: Tapeworm infection is major threat in many developing countries. Despite asymptomatic patients some develop serious conditions like intestinal obstruction. due to entangment of the worms which may leads to perforation which is a rare cause of acute abdomen. Taenia solium infection is caused by ingestion of undercooked pork meat containing cysticercus cellulose. Ileal perforation by taenia solium is very rarely reported condition in literature.