Anand, AbhinawShrestha, Manoj KrishnaShrestha, LunaSaurav Khetan,Ranjit, SuvekshhyaVranavydyam, Ranadheer BabuKhanal, Sagun2026-07-212026-07-212024https://hdl.handle.net/20.500.14572/7003Abhinaw Anand Department of Pediatrics, Kathmandu Model Hospital Institute of Health Sciences, Bagbazar, Kathmandu Manoj Krishna Shrestha Department of Pediatric Surgery, Kathmandu Model Hospital Institute of Health Sciences, Bagbazar, Kathmandu Luna Shrestha Department of Pediatrics, Kathmandu Model Hospital Institute of Health Sciences, Bagbazar, Kathmandu Saurav Khetan Department of Pediatrics, Kathmandu Model Hospital Institute of Health Sciences, Bagbazar, Kathmandu Suvekshhya Ranjit Department of Pediatrics, Kathmandu Model Hospital Institute of Health Sciences, Bagbazar, Kathmandu Ranadheer Babu Vranavydyam Department of Pediatric Surgery, Kathmandu Model Hospital Institute of Health Sciences, Bagbazar, Kathmandu Sagun Khanal Department of Pediatrics, Kathmandu Model Hospital Institute of Health Sciences, Bagbazar, KathmanduAbstract: We present here a case of intestinal obstruction caused by grapes. A 10-month-old girl was admitted to our hospital with vomiting and reduced urinary output over the past two days. The child had no history of fever, rashes, abdominal pain or swelling, altered bowel habits or melena. Plain X-ray abdomen showed few air-fluid levels with paucity of abdominal gas suggestive of intestinal obstruction. Abdominal ultrasound was performed to rule out volvulus. Subsequently, CT scan illustrated an abrupt narrowing of the ileum with a proximally dilated bowel segment, suggesting ileal obstruction. Surgical exploration showed two grapes impacted in the distal ileum. The grapes were broken into pieces and milked out of the colon. The patient recovered well and was discharged two days post-surgery without any complications. Nutritional guidance post-surgery involves ensuring thorough food chewing and maintaining adequate fluid intake during meal, carried out under constant supervision of caretakers.en-USForeign bodyIntestinal obstructionPediatricPhytobezoarArticle