case_images: PMC11367590_01
case_images: Clinical photograph showing healed inguinal scar:site of penetration (red).
case_images: 10.1177_2050313X241275425-fig1.jpg
case_images: PMC11367590_01_10.1177_2050313X241275425-fig1.jpg
case_images: fig1-2050313X241275425
case_images: His abdomen was grossly distended and moved with respiration and there was a 5 cm linear scar just lateral to the root of the penis (healed penetrating wound scar) (Figure 1).
case_images: (a) and (b) Coronal abdominal CT scan showing air pockets (yellow) in the right psoas muscle and a hyper-dense object (red), (c) Sagittal Abdominal CT scan showing air pockets in the right psoas muscle and a hyper-dense object (yellow).
case_images: 10.1177_2050313X241275425-fig2.jpg
case_images: PMC11367590_01_10.1177_2050313X241275425-fig2.jpg
case_images: fig2-2050313X241275425
case_images: A computed tomography (CT) scan of the abdomen-pelvis was then done and revealed a linear foreign body in the peritoneum measuring 8 cm long, air pockets in the right psoas muscle, and peritoneal collection (Figure 2).
case_images: (a) and (b) Intraoperative photograph showing foreign body (wooden stick) penetrating through ileum, (c) Wooden stick after extraction from the peritoneum.
case_images: 10.1177_2050313X241275425-fig3.jpg
case_images: PMC11367590_01_10.1177_2050313X241275425-fig3.jpg
case_images: fig3-2050313X241275425
case_images: This foreign object had caused a 5 cm tear, 20 cm from the ileocecal valve, and penetrated to the retroperitoneal area (Figure 3).
case_images: Photograph showing burst abdomen (red) with exposed bowels and drain (yellow) draining gastrointestinal contents.
case_images: 10.1177_2050313X241275425-fig4.jpg
case_images: PMC11367590_01_10.1177_2050313X241275425-fig4.jpg
case_images: fig4-2050313X241275425
case_images: On day 5 he developed signs of peritonitis and his midline laparotomy wound gapped (Figure 4) and developed into a burst abdomen.
case_images: Photo showing the patient 10 days post the second laparotomy with ileostomy (blue) and visible fecal discharge from the midline incision and peri-stomal area (red).
case_images: 10.1177_2050313X241275425-fig5.jpg
case_images: PMC11367590_01_10.1177_2050313X241275425-fig5.jpg
case_images: fig5-2050313X241275425
case_images: He unfortunately continued to deteriorate clinically as he developed severe acute malnutrition and peri-stoma fecal discharge 10 days later after the second laparotomy (Figure 5).
case_images: Photograph showing anterior wall skin excoriations and prominent ribcage due to severe malnutrition.
case_images: 10.1177_2050313X241275425-fig6.jpg
case_images: PMC11367590_01_10.1177_2050313X241275425-fig6.jpg
case_images: fig6-2050313X241275425
case_images: The child experienced anterior abdominal wall skin excoriations (Figure 6), severe weight loss of 12 kg, and also developed pressure ulcers.