Bezoar: an Unusual Palpable Mass in the Right Iliac Fossa
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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.

Case :
A 64-year-old man presented with a 12-h history of right iliac fossa pain. There was no change in bowel habit, no nausea, no vomiting, and no preceding history of trauma.

On examination, the patient had a tender palpable 8?×?6 cm mass in the right iliac fossa with localised peritonitis. The hernial orifices were intact and digital rectal examination was unremarkable. The working diagnosis at this time was an appendix mass or caecal cancer........

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4376833/
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