An 18-month-old male baby presented with complaints of fever, pain abdomen, bilious vomiting, and abdominal distension for 2 days. There was no history of trauma, longstanding fever or preceding infection. He was febrile, respiratory rate 30/ min; pulse 100/ min, and blood pressure within normal limits. The abdominal examination revealed a distended abdomen with tenderness and guarding in all quadrants. The bowel sounds were absent. After resuscitative measures, the laboratory investigations revealed hemoglobin of 12 g/ dl and a TLC of 14,000. An erect abdominal radiograph revealed air under diaphragm and ultrasound abdomen showed debrinous fluid in the pelvis and in between the intestinal loops.
With a diagnosis of generalized peritonitis, at surgery, there were three large perforations, about 1 × 1 cm in dimension and 5-7 cm apart on the antimesenteric and lateral walls of the mid ileum. Some rubbery rounded objects were present in the intestine at the level of each perforation. We retrieved three such balls from the affected intestine that caused intestinal perforation . The rubber balls were removed from the intestine and the affected portion of intestine resected. An end-to-end ileo ileal anastomosis was performed. The postoperative recovery was uneventful.
Decorative crystal ball retrieved from the intestine
On reinquiring the parents about the nature of FB found during operation, the mother told that she bought decorative crystal balls a few days back for decoration and the child ate a few of them. As immediately nothing happened to him, they ignored it. The symptoms appeared 2 days after ingestion thus they were not correlating the ingestion of crystal balls with the clinical condition of their son.