Biliary and Gastrointestinal Fistulas
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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.
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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.
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@article{Muzamhindo2026Ileocaecal,
title = {Ileocaecal region impaction by plum pits in a South African patient: A case report},
author = {Mobby M. Muzamhindo and Pieter B. Kotze and Christelle Ackermann},
journal = {South African Journal of Radiology},
year = {2026},
doi = {10.4102/sajr.v30i1.3571},
url = {https://doi.org/10.4102/sajr.v30i1.3571}
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