This patient presented with nonspecific lower abdominopelvic pain. Small hard masses could be felt on abdominal and PV examination. Ultrasound (not shown), demonstrated normal pelvic structures and where a mass could be felt, there was an echogenic structure with a clean shadow as would be seen with calcification, not gas.

Following the abdomen X-ray, the patient admitted to eating soil.

Geophagia is defined as the deliberate consumption of earth, soil, or clay.