Bezoars represent the most frequent foreign bodies of gastro-intestinal system, involving first of all the stomach and small intestine; instead the cecum tract is a very uncommon site for bezoars associated with a poor abdominal symptomatology. We report a case of a very rare localization of bezoar in the caecum tract of the ascending colon in a child affected by undefined abdominal pain. In this case, the abdominal Ultrasound examination showed characteristic imaging findings of bezoar completely comparable to that of Computed Tomography, allowing an early diagnosis of bezoar and the possibility of a conservative treatment for the young patient.

Background: Splenic volvulus is a rare cause of acute and chronic abdominal pain. This condition is determined by an insufficiency or absence of the ligamentous attachments, a condition known as “wandering spleen” that causes a hypermobility of the spleen. Wandering spleen could be congenital or acquired and is more frequent in women of reproductive age and in children. Symptoms may remain limited or absent for long periods of time, but complications can occur due to the torsion of the splenic vascular pedicle, resulting in symptoms ranging from an incidental finding to an acute abdomen derived from ischemic necrosis of the spleen. Case presentation: A 19-year-old male, admitted for abdominal pain and general discomfort. Considering the objective examination, further diagnostic tests were requested. Computed tomography (CT) revealed a chronic venous thrombosis of the splenic vein, hypoperfusion and malposition of the spleen, peritoneal effusion and stretching of structures in the left upper abdominal quadrant. These are strongly suspicious signs of splenic volvulus. Conclusion: The diagnosis of this rare condition can be challenging because of the variability of its symptoms and its capacity of mimicking other pathologies. Suggestive signs should be recognized in order to ensure a timely diagnosis and to choose the optimal strategy of treatment.