Abstract
Foreign body ingestion in adults is rare and typically linked to psychiatric or cognitive disorders. We present a rare and challenging case of an 18-year-old congenitally deaf and mute male who presented with prolonged constipation and recurrent vomiting. Diagnostic imaging revealed extensive fecal impaction and multiple ingested foreign bodies, which were coins and seeds, and there was no sign of any perforation. Due to the patient's communication barriers, diagnosis and management were delayed and required extra care. The patient was successfully managed with conservative procedures, including manual evacuation under sedation and supportive care, avoiding the need for surgical or endoscopic intervention. This case highlights the importance of a multidisciplinary approach during the management of gastrointestinal conditions in patients with communication disabilities and emphasizes the need for improved healthcare accessibility and communication strategies for the deaf and mute population.