Navigating foreign body ingestion in paediatric patients with a history of congenital abdominal wall defects.

Foreign object ingestion is a common medical problem in children and can cause serious complications in patients with a history of abdominal surgeries. This case describes a male toddler with a history of complex gastroschisis repair who presented with severe abdominal pain. Imaging revealed multiple foreign bodies in the abdomen, first seen on X-ray 9 months prior, along with signs of bowel inflammation. Due to the prolonged presence of foreign bodies and potential complications, the patient underwent exploratory laparotomy. Significant adhesions were found, particularly in the transverse colon, preventing foreign body passage. The patient required a right hemicolectomy to remove both the inflamed segment of the colon and the foreign objects en bloc. Parents should monitor young children closely for ingestion, as prompt medical attention is essential to avoid complications. Children with previous abdominal surgery represent a unique challenge as they may require surgery following foreign body ingestion.