PMC5371720_01
Sagittal computed tomography showing fecal impaction in the rectosigmoid colon (arrow).
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F1
Laboratory evaluation was unremarkable, and a computed tomography scan of the abdomen and pelvis showed fecal impaction without evidence of obstruction (Figure 1).
Pumpkin seed bezoar at the distal rectum.
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F2
Colonoscopy revealed a pumpkin seed bezoar impacted at the distal rectum (Figure 2).
(A) Large circumferential area of exudative ulcerated bleeding mucosa at the distal rectum. (B) Small area of non-exudative bleeding ulcerated mucosa in the proximal ascending colon.
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F3
Underneath the bezoar, a circumferential area of ulcerated mucosa was found, and a small bleeding mucosal tear was noted in the proximal ascending colon (Figure 3).