An otherwise healthy 80‐year‐old gentleman presents with 1‐day history of generalized abdominal pain and vomiting associated with abdominal distention and bowels not opening for 3 days. He has not had any previous abdominal surgery apart from an elective laparoscopic total extraperitoneal repair of bilateral inguinal hernia. On examination, he was haemodynamically stable with a distended abdomen but without any peritonism. Computed tomography of the abdomen/pelvis demonstrated evidence of small bowel obstruction (SBO) at the mid‐jejunum with a transition point in the left upper abdomen (Fig. 1). He was initially managed conservatively with nasogastric tube decompression, intravenous fluids and a trial of gastrografin. Unfortunately, he failed to improve and underwent exploratory laparoscopy. Intraoperatively, the small bowel was followed from the terminal ileum proximally, finding a hard luminal mass in the mid‐jejunum. The duodeno‐jejunal junction was identified and the small bowel was again followed distally and the luminal mass was again identified. With this single transition point identified, the segment of jejunum was eviscerated and examined. A limited small bowel resection was performed to deliver this mobile hard pigmented intraluminal mass measuring 3 × 4 cm (Fig. 2). Histopathology confirmed normal small bowel with ghosted plant cell walls throughout the firm mass consistent with food bezoar (Fig. 3). The patient made an uneventful recovery and was discharged on day 6