Intestinal Perforation in Obstructed Umbilical Hernia due to Wedged Plum Seed

Rahul Gupta1, Vikram Singh Mujalde1, Shilpi Gupta1

  • 1Department of Paediatric Surgery, SMS Medical College Jaipur, Rajasthan, India.

Insights

Foreign body ingestion, though rare, can cause gastrointestinal perforation in infants. This case highlights a plum seed causing a small bowel perforation in an 11-month-old baby with an umbilical hernia.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Pathology
  • Foreign Body Ingestion

Background:

  • Foreign body ingestion is an uncommon etiology of pediatric gastrointestinal perforation.
  • Sharp objects and button batteries are the most frequently implicated foreign bodies.

Observation:

  • An 11-month-old male infant presented with symptoms of an obstructed umbilical hernia.
  • Radiographic, ultrasonographic, and CT imaging suggested a foreign body within the gastrointestinal tract.

Findings:

  • Laparotomy confirmed an obstructed umbilical hernia.
  • A plum seed was identified as the foreign body lodged in the terminal ileum, causing intestinal perforation.
  • Surgical management involved resection and anastomosis of the affected intestinal segment.

Implications:

  • This case underscores the importance of considering diverse foreign bodies, including organic matter like seeds, in pediatric gastrointestinal emergencies.
  • Early diagnosis and surgical intervention are crucial for managing foreign body-induced intestinal perforation.
  • Highlights the potential for unusual foreign bodies to cause serious gastrointestinal complications in infants.

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