Phlebosclerotic colitis with fecal bezoar.

To the Editor, We present a case of 58-year-old man who had suffered from nausea and vomiting with intermittent right lower abdominal pain that morning. He had no known systemic disease and earlier had been quite well. He had had tarry stool for one month but no loss of body weight. Physical examination revealed muscle guarding and tenderness over the right lower abdomen, without rebound pain. Abdominal CT study showed wall thickening and fecal material filling the ascending and transverse colon, with dilated small bowel loops. There were numerous serpiginous calcifications within the rightsided colon and adjacent mesentery (Figure 1), with significant edematous wall thickening of the ascending and transverse colon extending to the descending colon. Liver cirrhosis was also found incidentally.