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Case Report
Ileocaecal region impaction by plum pits in a South African patient: A case report
South African Journal of Radiology | Vol 30, No 1 | a3571 |
DOI: https://doi.org/10.4102/sajr.v30i1.3571
| © 2026 Mobby M. Muzamhindo, Pieter B. Kotze, Christelle Ackermann
| This work is licensed under CC Attribution 4.0
Submitted: 18 June 2026 | Published: 09 September 2026
Submitted: 18 June 2026 | Published: 09 September 2026
About the author(s)
Mobby M. Muzamhindo, Department of Medical Imaging and Clinical Oncology, Faculty of Medicine and Health Sciences, Tygerberg Hospital, Stellenbosch University, Cape Town, South AfricaPieter B. Kotze, Department of Medical Imaging and Clinical Oncology, Faculty of Medicine and Health Sciences, Tygerberg Hospital, Stellenbosch University, Cape Town, South Africa
Christelle Ackermann, Department of Medical Imaging and Clinical Oncology, Faculty of Medicine and Health Sciences, Tygerberg Hospital, Stellenbosch University, Cape Town, South Africa
Abstract
Multiple plum pit impaction at the ileocaecal junction is an under-recognised cause of right lower quadrant pathology in Africa. A 54-year-old man presented with chronic abdominal pain, haematemesis and peritonism. CT confirmed partial luminal impaction with secondary appendiceal region inflammation. Conservative management was successful. Dietary history, careful plain radiograph review and CT with volumetric reconstruction were key diagnostic steps in this unusual presentation.
Contribution: This case documents an uncommon occurrence of ileocaecal impaction from multiple plum pits with secondary appendiceal region inflammation, while highlighting volumetric CT reconstruction as a valuable diagnostic adjunct in confirming pit morphology.
Keywords
plant seeds; ileocaecal impaction; CT; bezoar; case report; Africa
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