Cecal vitamin bezoar formation inducing abdominal discomfort.
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.
Hunt-Fugate
A K
AK
Department of Pharmacy Services, Sparrow Hospital, Lansing, MI 48912.
Schmidt
H J
HJ
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*
D002214:Capsules; D010713:Phosphatidylcholines; D014805:Vitamin B 12