A bizarre case of a foreign-body bezoar is presented. A 16-year-old girl sw
allowed large amounts of toilet paper as a means of dieting. She presented
with a palpable abdominal mass, multiple bezoars in the bowel, and paper ex
cretion in the feces before admitting intentional ingestion of toilet-paper
balls. Administration of Gastrografin via a nasogastric tube and enemas re
sulted in gradual excretion of the paper balls.