To the Editor:—
The Journal published a letter suggesting the use of peanuts as a timesaving lunch (200: 183,1967). I would suggest that any doctor advising this luncheon should urge his patient to chew the pea-nuts well, as they can be the cause of phytobezoar. This is illustrated by the following case.
Report of a Case:—
A 27-year-old salesman was in the habit of eating a luncheon of peanuts washed down with a soft drink. On the day he suffered a small-bowel obstruction, his symptoms started at about 4:30 PM. At laparotomy, the obstructed segment was found to be about 8 inches of the midileum. The obstructing mass had the consistency of putty, and on palpation through the bowel wall numerous small hard particles could be felt. The bowel above this was greatly distended and the lacteals engorged with fat. The obstructing mass was broken down, without opening the bowel,