Deciding to Remove or Leave a Peritoneal Loose Body: A Case Report and Review of Literature

The American Journal of Case Reports
Munzir Obaid, Salahddin Gehani

Abstract

BACKGROUND Peritoneal loose bodies, also known as peritoneal mice, are rare findings and they present either with nonspecific symptoms or are found incidentally during exploration and autopsy. Usually, they have no clinical significance and require no specific treatment. We report a case of a giant peritoneal loose body found incidentally in the abdominal cavity of a patient who presented with abdominal pain and hematuria. CASE REPORT Our patient was a 58-year-old man who presented with abdominal pain and hematuria. Abdominal non-contrast computed tomography (CT) and subsequent CT abdomen and pelvis with intravenous and oral rectal contrast were performed preoperatively, showing a well-circumscribed and calcified lesion of undetermined etiology in the abdominal cavity. The lesion was removed laparoscopically with no complications. Histopathologically, the lesion was reported as calcified tissue with fat necrosis, most likely an infarcted appendix epiploicae. CONCLUSIONS Loose peritoneal bodies can present a challenging diagnostic problem to the surgeon, with confusing findings that can point towards malignancy. It often requires a number of investigations; however even with these investigations, operative exploration, either op...Continue Reading

Citations

May 30, 2019·Biomedical Reports·Shanshan GuoLiang Zong
Jun 29, 2021·Journal of Surgical Case Reports·Theresa KastiunigLuca Benigno
Jul 18, 2021·International Journal of Surgery Case Reports·Abraham AriayaEsubalew Taddese Mindaye

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