Amelmasin Faris Ibrahim, Mohammed Seid Hussen, Yared Tekle, Hussen Mohammed

A rare case of Cecal foreign body leading to Cecal perforation in 12-year-old child: A clinical case report and review of literature

  • General Medicine
  • Surgery

Introduction and Importance: Cecal foreign bodies (CFB) are uncommon causes of acute abdomen, and their presentation can often mimic acute appendicitis, making it challenging to diagnose. We present the case of a 12-year-old male from Ethiopia who initially presented with symptoms suggestive of acute appendicitis. However, during surgery, we found a multiple magnetic fields result in perforation. This case highlights the importance of considering unusual etiologies. Case Presentation: A 12-year-old boy with acute appendicitis associated with anorexia, nausea, and low-grade fever was referred from a private clinic. Otherwise, no history of recent respiratory infection and diarrhea, and was previously in good health. The patient did not report any history of a foreign body (FB), even to his own family, and, except for himself, no one was aware of the ingested FB. The work has been reported in line with the SCARE 2023 criteria. Discussion: In this case, we experienced multiple magnetic FB in the cecum, which were not observed on ultrasound (U/S). However, this case closely resembled appendicitis. U/S can aid in differentiation. However, it may not always identify the underlying etiology, specifically in a resource-limited setting. Conclusion: Based on the patient’s presentation, acute appendicitis was diagnosed and emergency surgery was presumed to be inflamed. However, three magnetic foreign bodies were the underlying cause of the presentation, which created pressure on the cecal wall, and we successfully performed surgical management. This case reminds us of uncommon etiologies, such as magnets in patients with symptoms of appendicitis. This underscores the importance of an open-minded approach to unexpected findings during surgery.

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