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October 9, 1967

Paper Bezoar of The Descending Colon

Author Affiliations


JAMA. 1967;202(2):153-154. doi:10.1001/jama.1967.03130150121035

To the Editor:—  Numerous reports of gastric and intestinal bezoars appear in the medical literature. Bezoars of the colon unassociated with obstructing foreign bodies, tumors, or areas of diverticulitis are rarely documented.Wilson et al1 reported one case in a 54-year-old man with an obstructing phytobezoar in the transverse colon. These authors believed this bezoar to be "at least aggravated by carboxymethyl cellulose ingestion" used in the relief of chronic constipation. The roentgenographic findings were those of large-bowel obstruction as seen in the illustration following.

Report of a Case:—  A 26-year-old woman was seen on April 11, 1966, with the chief complaint of abdominal cramps of three days' duration. There was mild nausea, and the patient had vomited once prior to admission. She had several watery bowel movements associated with tenesmus. Abnormal physical findings included abdominal distension and a palpable tender mass in the middle part of the abdomen