A 7-year-old female presented to our hospital with complaints of pain in the abdomen and vomiting for 5 days. She had not passed stool and flatus for 3 days. Abdominal pain was colicky, generalized, and of moderate-to-severe intensity. Vomiting had occurred for 12 episodes in the last 3 days. It was non-projectile, bilious, and non-blood stained. Vomiting was aggravated by food intake, leading to the child’s refusal to eat. Her mother had noticed distension in her abdomen. She had not passed stool and flatus for 3 days. She had no history of fever, jaundice, or passage of red-colored stool. Before these symptoms, the child was otherwise healthy and had development comparable to her peers. She had undergone a herniotomy for left inguinal hernia 1 year back. On physical examination, the patient appeared dehydrated, ill looking, and in pain. Her vitals were within normal limits. Generalized distension of the abdomen was present. The abdomen was soft to palpation; however, there was generalized tenderness without rebound tenderness. The X-ray of the abdomen showed multiple air fluid levels along with distended small bowel loops, suggesting small bowel obstruction, as shown in Figure A, B. Blood parameters were unremarkable. A provisional diagnosis of complete adhesive small bowel obstruction was made. The patient was managed conservatively with nasogastric tube insertion, Foley’s catheterization, and intravenous dextrose normal saline. Injection ceftriaxone 500 mg was also given as a prophylactic antibiotic. After initial resuscitation, an emergency exploratory laparotomy was planned. Under general anesthesia, the abdomen was opened. Dilated ileal and jejunal loops with a transition point 40 cm proximal to the ileocecal valve were noted. No gangrenous segments were observed. A cystic swelling was noted over the transition point, which was mobile. The swelling was not attached to any underlying structure and was found to be a foreign body. The foreign body was milked through the ileocecal valve into the ascending colon as shown in Figure A. Dilated ileal and jejunal loops were decompressed through the duodeno-jejunal flexure. A colonoscopy was performed on the operating table, and the foreign body was identified to be a fluid-filled rubber balloon of 3 cm diameter approximately. It was ruptured and retrieved using endoscopic forceps, as shown in Figure B. Postoperatively, the patient’s party was told about the operative findings. The patient admitted to having ingested a fluid-filled balloon 7 days back.