Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Pediatr. Sep 9, 2025; 14(3): 106463
Published online Sep 9, 2025. doi: 10.5409/wjcp.v14.i3.106463
Organophosphate poisoning presenting with paralytic ileus: A case report
Felix Pius Omullo, Nick Mutisya, Elisha Kinas, Thomas Kitheghe, Zamzam Hassan, Rynah Muhonja
Felix Pius Omullo, Nick Mutisya, Elisha Kinas, Thomas Kitheghe, Zamzam Hassan, Rynah Muhonja, Department of Pediatrics and Child Health, Murang’a County Referral Hospital, Murang’a 10200, Kenya
Co-first authors: Felix Pius Omullo and Nick Mutisya.
Author contributions: Omullo FP and Mutisya N drafted the manuscript and made equal contributions as co-first authors. Omullo FP contributed to conceptualization and data collection; Mutisya N contributed to literature review, editing, and critical revision; Kinas E contributed to data interpretation, case presentation refinement, and manuscript review; Kitheghe T contributed to manuscript formatting, figure preparation, and reference management; Hassan Z and Muhonja R contributed to supervision, critical revision, and final approval of the manuscript.
Informed consent statement: Written informed consent was obtained from the patient’s parent for publication of this case report and accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Felix Pius Omullo, MD, Researcher, Department of Pediatrics and Child Health, Murang’a County Referral Hospital, Hospital Road, Kiharu Township, Murang’a 10200, Kenya. piuskirasia@gmail.com
Received: March 6, 2025
Revised: April 23, 2025
Accepted: May 29, 2025
Published online: September 9, 2025
Processing time: 102 Days and 17 Hours
Core Tip

Core Tip: This case report describes a rare presentation of paralytic ileus following organophosphate poisoning in a 5-year-old boy. Clinical suspicion and imaging confirmed the diagnosis despite the absence of overt cholinergic signs. Prompt treatment with atropine, pralidoxime, and supportive measures led to full recovery. The report highlights the importance of recognizing atypical complications, especially in pediatric patients, and calls for improved harm reduction strategies, public awareness, and safe pesticide storage to prevent such incidents in resource-limited settings.