A 56-year-old man arrived at a New York emergency department with one day of intermittent left-sided abdominal pain, nausea, and a single episode of vomiting. His CT scan showed a 3.3-centimeter stony mass wedged in the terminal ileum, choking off most of the bowel. The object had a dark center wrapped inside a dense, ridged outer shell. The reading team's impression was gallstone ileus.
It was a peach pit.
