“…In adults, dentures and orthodontic appliances, needles, toothpicks, fish or meat bones, clips and razor blades are commonly ingested sharp objects. Mortality rates of up to 30 % have been reported particularly for delayed management, thus early diagnosis and timely intervention are essential to improve patient outcomes [ 2 ]. Herein we report an unusual case of a patient with an ileal perforation secondary to a coconut leaf midrib skewer initially presenting as small bowel obstruction.…”