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May 8, 1967


Author Affiliations

USN Portsmouth, Va

JAMA. 1967;200(6):561. doi:10.1001/jama.1967.03120190187042

To the Editor:—  Rarely does wax accumulate in any great quantity in the gastrointestinal tract. In the present report, the patient had a palpable right lower quadrant mass and a one-year history of vague gastrointestinal complaints. At laparotomy this mass was found to be a massive accumulation of wax in the terminal ileum, appendix, and cecum. We would like to designate this type of bezoar a "cerabezoar," using the Latin prefix cera, meaning wax. Because of the unusual location and occurrence of this type of bezoar, it was felt that a case report was indicated.

Report of a Case:—  A 22-year-old white seaman was admitted to the Naval Hospital, Portsmouth, Va, on June 10, 1966. He had been having intermittent right lower quadrant pain for one year. This pain usually became worse for two or three hours after he ate a heavy meal, and it frequently was relieved by defecation.