Bustangi Nasir M, Al-Bihani Bashair
Division of Pediatric Surgery, Department of Surgery, Faculty of Medicine, King Abdulaziz University Hospital, King Abdulaziz University, Almortada 7441, Jeddah 22252, Saudi Arabia.
Department of Pediatric Surgery, International Medical Center, Hail Street, AL-Ruwais, Jeddah 23214, Saudi Arabia.
J Surg Case Rep. 2025 Sep 5;2025(9):rjaf615. doi: 10.1093/jscr/rjaf615. eCollection 2025 Sep.
Foreign body ingestion in children, especially those aged 6 months to 3 years, is a common clinical concern. While most objects pass through the gastrointestinal tract uneventfully, some may result in obstruction and necessitate surgical intervention. We report a rare case of a 10-year-old child with autism who presented with small bowel obstruction following ingestion of a rubber feeding bottle nipple. Imaging confirmed the object lodged in the proximal jejunum. The patient underwent successful laparoscopic extraction of the foreign body and concurrent appendectomy for acute appendicitis. Postoperative recovery was uneventful, and the patient was discharged on Day 5. This case supports laparoscopic intervention as a safe and effective option for managing gastrointestinal foreign bodies and concomitant intra-abdominal pathology in pediatric patients.
儿童吞食异物，尤其是6个月至3岁的儿童，是临床上常见的关注点。虽然大多数异物可顺利通过胃肠道，但有些可能导致梗阻并需要手术干预。我们报告一例罕见病例，一名10岁自闭症儿童在吞食橡胶奶瓶奶嘴后出现小肠梗阻。影像学检查证实异物嵌顿在空肠近端。患者成功接受了腹腔镜异物取出术，并因急性阑尾炎同时进行了阑尾切除术。术后恢复顺利，患者于第5天出院。该病例支持腹腔镜干预作为处理小儿胃肠道异物及并发腹腔内病变的一种安全有效的选择。
