Takotsubo cardiomyopathy also known as Stress induced Cardiomyopathy, is a transient, reversible left ventricular dysfunction initially reported by Japanese authors in post menopausal women. It is usually triggered by sudden emotional and physical stress and is proposed to be response of catecholamine release due to stressful event, resulting in temporary myocardial damage. The condition mimics myocardial ischemia without any coronary artery lesion and with typical ballooning of left ventricle on echocardiography. It usually has a benign course and treatment is symptomatic has a favourable prognosis. It may recur and can result in sudden cardiac death with heart failure, pulmonary edema, arrhythmia, acute myocardial infarction and cardiac rupture. We report the case of a 28 year old male patient who underwent Emergency laparotomy for illeal perforation and diagnosed to have Abdominal Kochs on histopathological examination and developed stress induced cardiomyopathy in post operative period