Gastrointestinal complications of multiple foreign body ingestion with malrotation of the gut

Abstract

Foreign body (FB) ingestion is a common problem in the pediatric age group, and most pass spontaneously through the gastrointestinal tract. But the presence of anatomical variants like malrotation of the gut may lead to complications. Our patient, a 5-year-old male presented with pain in the abdomen and radiological imaging diagnosed a metallic FB in the small bowel with ileo-ileal intussusception. Exploratory laparotomy with removal of FBs (metallic ring and cotton fiber bezoar), intussusception reduction followed by closure of perforations was done. The patient had an uneventful recovery. This case is perhaps the first instance of small bowel perforations and intussusception following FB ingestion in a child with malrotation of the gut.