title: Bezoar: an unusual palpable mass in the right iliac fossa.
abstract: A 64-year-old gentleman presented with a 12-h history of right iliac fossa pain. On examination, the patient had a tender 8 × 6 cm mass in the right iliac fossa with localised peritonitis. The working diagnosis at this time was an appendix mass or caecal cancer. A computed tomography scan revealed the characteristic 'bird's nest' appearance of a bezoar. On further questioning, the patient confessed to regularly 'binging' on grapes. The patient described passing the mass and his symptoms completely resolved. This appears to be the only documented case of a bezoar affecting the ascending colon.
authors.affiliation: Department of Colorectal Surgery, Musgrove Park Hospital, Taunton, Somerset TA1 5DA UK ; 44a Fore St., Topsham, Exeter, Devon EX3 0HY UK.
authors.forename: A
authors.initials: A
authors.lastname: Armstrong
authors.affiliation: Department of Colorectal Surgery, Musgrove Park Hospital, Taunton, Somerset TA1 5DA UK.
authors.forename: J
authors.initials: J
authors.lastname: Coulston
authors.affiliation: Department of Colorectal Surgery, Musgrove Park Hospital, Taunton, Somerset TA1 5DA UK.
authors.forename: P
authors.initials: P
authors.lastname: Mackey
authors.affiliation: Department of Colorectal Surgery, Musgrove Park Hospital, Taunton, Somerset TA1 5DA UK.
authors.forename: C
authors.initials: C
authors.lastname: Saxby
authors.affiliation: Department of Colorectal Surgery, Musgrove Park Hospital, Taunton, Somerset TA1 5DA UK.
authors.forename: I
authors.initials: I
authors.lastname: Eyre-Brook
keywords: Bezoar; Bowel obstruction; Colon; Peritonitis
references.citation: Gastrointest Endosc Clin N Am. 2006 Jan;16(1):111-9
references.pmid: 16546027
references.citation: J Trauma. 2006 Oct;61(4):990-1
references.pmid: 17033575
references.citation: Br J Surg. 1994 Jul;81(7):1000-1
references.pmid: 7922045