Pumpkin Seed Ingestion and Pediatric Appendicitis: A Unique Case Report

This case report highlights an uncommon association between unshelled pumpkin seed ingestion and pediatric appendicitis, emphasizing their potential role as mechanical obstructions and bacterial growth triggers. It contributes valuable insights into dietary habits as possible risk factors for appendicitis in children. Three pediatric cases were identified after pumpkin seed consumption 1–2 days before symptom onset. This report focuses on a 4-year-old boy who presented with severe abdominal pain, vomiting, fever, abdominal tenderness, and rigidity. Imaging revealed colonic obstruction, free peritoneal fluid, and fecal matter impaction, with elevated inflammatory markers confirming acute appendicitis complicated by peritonitis. Therapeutic interventions and outcomes: The patient was diagnosed with acute appendicitis with peritonitis and underwent exploratory laparotomy and appendectomy. Postoperative care included intravenous fluids, antibiotics, and analgesics. Recovery was prolonged, characterized by persistent vomiting and poor oral intake. However, the patient was discharged in stable condition after 10 days of hospitalization. This case underscores the potential health risks of consuming unshelled pumpkin seeds, particularly in children. It highlights their obstructive effect and role in bacterial overgrowth, suggesting a need for further research and raising awareness about dietary practices to prevent similar occurrences.