'Boiled egg' in the peritoneal cavity-a giant peritoneal loose body in a 64-year-old man: a case report

Sewkani, Ajit; Jain, Aruna; Maudar, K K; Varshney, Subodh

doi:10.1186/1752-1947-5-297

Cited by 28 publications

(31 citation statements)

References 8 publications

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“…Although the majority of PLBs range from 0.5 to 2.5 cm in diameter and generally cause no symptoms,7 they can reach a diameter of 5 to 9.5 cm and are then termed "giant" PLBs. Because of the limited room in the pelvic bowl, giant PLBs can compress pelvic structures, resulting in intestinal obstruction, incomplete bowel emptying, and urinary retention 3-5,9. The most common radiological finding of a PLB is an oval-shaped mass with a central calcification and a low-intensity area.…”

Section: Discussionmentioning

confidence: 99%

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A Giant Peritoneal Loose Body

et al. 2013

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Peritoneal loose bodies (PLBs) are usually discovered incidentally during laparotomy or autopsy. A few cases of giant PLBs presenting with various symptoms have been reported in the literature. Here, we describe a case of a giant PLB incidentally found in the pelvic cavity of a 50-year-old man. Computed tomography revealed a free ovoid mass in the pelvic cavity that consisted of central dense, heterogeneous calcifications and peripheral soft tissue. The mass was an egg-shaped, hard, glistening concretion measuring 7.5×7.0×6.8 cm and weighing 160 g. This concretion consisted of central necrotic fatty tissue surrounded by concentrically laminated, acellular, fibrous material. Small PLBs usually do not require any specific treatment. However, if PLBs cause alimentary or urinary symptoms due to their large size, surgical removal may be recommended. It is essential for clinicians to be aware of this entity and its characteristic features to establish the correct diagnosis.

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Section: Discussionmentioning

confidence: 99%

“…To date, a few cases of giant PLBs have been reported in the literature 2-5,8,9,11-13. Even though these patients were asymptomatic, surgery was performed to remove the suspected neoplasm.…”

Section: Discussionmentioning

confidence: 99%

A Giant Peritoneal Loose Body

et al. 2013

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“…In our case, the giant peritoneal loose body was 50 × 40 × 40 mm in size and did not cause any discomfort; it was found incidentally on physical examination. Occasionally, if the peritoneal loose bodies are large enough and in a particular location, patients may be admitted to the hospital with acute urinary retention [ 4 , 5 ] or intestinal obstruction [ 6 - 8 ] due to extrinsic compression.…”

Section: Case Presentationmentioning

confidence: 99%

Giant peritoneal loose body in the pelvic cavity confirmed by laparoscopic exploration: a case report and review of the literature

et al. 2015

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A 51-year-old previously healthy male underwent a routine medical examination. Computed tomography and ultrasonography showed an oval-shaped mass that was about 50 × 40 mm in size in the left iliac fossa. Prior to surgery, the lesion was suspected to be a teratoma with core calcification or stromal tumor derived from the rectosigmoid colon. During the procedure, a yellow-white, egg-shaped mass was discovered that was completely free from the pelvic cavity in front of the rectum. The giant, peritoneal loose body was taken out through the enlarged port site. Histological examination showed that the mass consisted of well-circumscribed, unencapsulated, paucicellular tissue, with an obviously hyalinized fibrosclerotic center. A giant peritoneal body is extremely rare. We report such a case and review previously published literature.

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“…Matsubara et al (3) reviewed 20 reported PLB cases and determined that PLB is more common in males, with a male:female ratio of 17:3. Although the pathogenesis of PLB remains unclear, it is widely accepted that they arise from infarcted appendices epiploicae, which then go through several sequential processes, including saponification, calcification and fibrosis (4). PLBs then increase in size by accumulating albumin from exudative peritoneal fluid (4).…”

Section: Introductionmentioning

confidence: 99%

Giant peritoneal loose body: A case report

Guo

Yuan

et al. 2019

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Peritoneal loose body (PLB) is a rare finding and it is usually incidentally discovered during laparotomy, examination or autopsy, as it is usually asymptomatic or presents with non-specific symptoms. In particular, giant PLBs, measuring >50 mm in maximum diameter, are even more rare, and only a few cases of laparoscopic extraction of these giant bodies have been reported in the literature to date. We herein describe our experience with the diagnosis and treatment of a giant PLB in a 49-year-old male patient who was admitted with complaints of intermittent pain the in lower abdomen 3 months earlier. An abdominal computed tomography scan revealed a 5.5x5.0-cm midline mass with central high density. The diagnosis was confirmed by open surgery and postoperative pathological examination. The postoperative recovery of the patient was uneventful and he was discharged from the hospital 7 days after surgery.

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'Boiled egg' in the peritoneal cavity-a giant peritoneal loose body in a 64-year-old man: a case report

Cited by 28 publications

References 8 publications

A Giant Peritoneal Loose Body

A Giant Peritoneal Loose Body

Giant peritoneal loose body in the pelvic cavity confirmed by laparoscopic exploration: a case report and review of the literature

Giant peritoneal loose body: A case report

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