Abstract: Objective To study the causes,clinical features and treatment of stercoral ileus in Hainan Province. Methods Clinical data,surgical procedures and treatment of 1 stercoral ileus patient admitted to our hospital in May 2012 were retrospectively analyzed with the related literature reviewed. Results The patient had no response to conventional treatment after admission and thus underwent laparoscopy-assisted exploration with the bezoar removed under general anesthesia.However,the patient received abdominal laparotomy on day 23 after admission due to the recurrence of ileus 16 days after operation.The gastrointestinal function of the patient was recovered 3 days after operation.The patient had solid food 9 days after operation and was discharged 13 days after operation without complications. Conclusion Eating guava may be the major cause of stercoral ileus in Hainan Province,attention should thus be paid to its surgical procedure and complications.