Cecal vitamin bezoar formation inducing abdominal discomfort.

To document a case of cecal lecithin-vitamin B12 bezoar formation inducing abdominal discomfort. Case study. 500-bed, community teaching hospital. 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. Catharsis with bisacodyl, magnesium citrate, NaCl 0.9%; dissolution with heated, dilute barium administered rectally in conjunction with external manipulation; laparotomy. None planned; dissolution or transit of bezoar through gastrointestinal tract desired outcome. Classification of bezoars and treatment discussed in relation to this case report. Medicinal agents have been implicated in bezoar formation. Treatment options have included: cathartics, heated solvent enemas, and external manipulation and surgery.