title: Cecal vitamin bezoar formation inducing abdominal discomfort.
abstract: OBJECTIVE
  To document a case of cecal lecithin-vitamin B12 bezoar formation inducing abdominal discomfort.
  
  
  METHODS
  Case study.
  
  
  METHODS
  500-bed, community teaching hospital.
  
  
  METHODS
  81-year-old man with a history of multiple abdominal surgeries who presented with a chief complaint of abdominal pain. Flat plate X-ray of the abdomen revealed multiple capsule-shaped objects lodged in the cecum.
  
  
  METHODS
  Catharsis with bisacodyl, magnesium citrate, NaCl 0.9%; dissolution with heated, dilute barium administered rectally in conjunction with external manipulation; laparotomy.
  
  
  METHODS
  None planned; dissolution or transit of bezoar through gastrointestinal tract desired outcome.
  
  
  CONCLUSIONS
  Classification of bezoars and treatment discussed in relation to this case report.
  
  
  CONCLUSIONS
  Medicinal agents have been implicated in bezoar formation. Treatment options have included: cathartics, heated solvent enemas, and external manipulation and surgery.
authors.affiliation: Department of Pharmacy Services, Sparrow Hospital, Lansing, MI 48912.
authors.forename: A K
authors.initials: AK
authors.lastname: Hunt-Fugate
authors.forename: H J
authors.initials: HJ
authors.lastname: Schmidt
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D000369:Aged, 80 and over; D001630:Bezoars / Q000209:etiology*; D002214:Capsules; D002432:Cecum; D006801:Humans; D008297:Male; D010713:Phosphatidylcholines / Q000009:adverse effects; D014805:Vitamin B 12 / Q000009:adverse effects*
chemical_list: D002214:Capsules; D010713:Phosphatidylcholines; D014805:Vitamin B 12