Intestinal obstruction due to fecolith is a rare cause of small bowel obstruction. A 20 years old adult male presented with the features of intestinal obstruction of seven days duration. Clinical examination and radiological investigations suggests the features of small bowel obstruction. Patient underwent exploratory laparotomy and a lump with hard consistency was found in distal jejunum, and enterotomy was made to take out the lump. It was fecolith of size 4×3×2 cm (Fig 3).