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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.
Abstract:
The foreign body ingestion is a rare cause of gastrointestinal perforation in children and is typically seen with sharp foreign bodies or button batteries. Herein, we report an 11-month old male baby who presented with obstructed umbilical hernia. Abdominal radiograph showed dilated small bowel loops, while ultrasonography and CT scan suggested presence of a foreign body. Laparotomy revealed obstructed umbilical hernia with a plum seed being stuck in the terminal ileum causing intestinal perforation. Resection and anastomosis of intestine was performed.
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