Pica syndrome is an eating disorder in which indigestible substances are repeatedly consumed, in this case soil. The number of hospitalizations due to the consumption of indigestible substances is increasing. Pica syndrome frequently occurs during pregnancy or in association with certain nutritional deficiencies.A 2-year-old patient was referred to the pediatrics department of the Pediatric Clinic after experiencing abdominal pain and vomiting. The main reason for seeking medical attention was the ingestion of soil, as reported by the parents. The disease had begun insidiously several weeks earlier. The case was managed according to hospital protocol. Investigations revealed microcytic, hypochromic, iron-deficiency anemia, with no parasites present in the stool. An empty abdominal X-ray revealed radio-opaque material in the colon and rectum, as well as rectal ampulla distension. These results are suggestive of the ingestion of indigestible objects. Following interdisciplinary consultations in pediatric surgery and psychology, a diagnosis of constipation was made and an association with autism spectrum disorder was ruled out. Treatment consisted of enemas and oral administration of iron hydroxide-polymaltose complex. The patient responded well to treatment, with no notable complications.Iron deficiency is commonly associated with Pica syndrome. In this case, the presence of gingivostomatitis was an early sign of eating disorder. The case was managed by a multidisciplinary team consisting of a pediatric gastroenterologist, pediatric surgeon, and psychologist.Diagnosing this condition requires a high degree of suspicion on the part of the clinician. Parents need to be involved in supervising recreational activities and educating the child about behaviors that are acceptable or inappropriate for their age. X-rays are absolutely essential for evaluating patients with Pica syndrome.Despite autism being excluded, children still need comprehensive developmental assessments.This case of pica involving soil ingestion highlights diagnostic challenges and shares similarities with other non-nutritive eating behaviors across disorders presentations. Complications can have serious health consequences, such as intestinal obstruction or toxic effects of the substances.A thorough investigation is recommended in such cases of eating disorder. Early identification and immediate correction of micronutrient deficiencies. The involvement of a multidisciplinary team can lead to favorable outcomes in the treatment of these cases.