Here we report a scenario where post laparoscopic appendectomy residual lengthy stump lead to small bowel obstruction. We describe an unusual case of a 65 year old female who had undergone a laparoscopic appendectomy a year ago now presented with small bowel obstruction due to an adhesive band extending from the residual appendicular stump to terminal ileum, 20cm proximal to the Ileo–caecal junction, which lead to an internal herniation of bowel loop. Thus we bring to notice the need for appropriate clinical acumen and prior radiological investigation before surgical intervention