Seedy Business: A Pumpkin Seed Bezoar

A bezoar is a rare accumulation of indigestible material found in the gastrointestinal tract that may lead to bowel obstruction. Seed bezoars, a distinct subtype of phytobezoar, are rare in the United States. While there is limited guidance on the management of pumpkin seed bezoars, this case reviews considerations around conservative management and helps increase awareness about the increased risk of seed bezoars when large amounts of whole seeds are consumed. The following case highlights the diagnostic and management considerations for an infrequent cause of constipation in healthy adults, a rectal pumpkin seed bezoar.