A case of pharmacobezoar in a patient with ileostomy.

We report a case of a 59-year-old white male who presented with right-sided abdominal pain of 6 months duration. The patient had a total colectomy and Brooks continent ileostomy 20 years ago for severe ulcerative colitis. A CT scan of the abdomen and pelvis revealed large number of pills (pharmacobezoar) in the small bowel, just proximal to the ileostomy pouch. The patient underwent a laparotomy and enterotomy, which resulted in extraction of more than 50 pills from the small bowel. He had no symptoms during the subsequent follow up visits.