Exploratory laparoscopy as first choice procedure for the diagnosis of giant peritoneal loose body: a case report

Ruibin, Li; Wan, Zhiheng; Li, HaoTian

doi:10.1177/0300060520954714

Cited by 4 publications

(4 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Laparoscopy is the main method to treat symptomatic patients and there are no reports of recurrence cases after dissociation. Currently, none of the reported PLBs are encased in cyst wall, and when they are free in the pelvis or abdominal cavity, they move in response to changes in posture (3,5). However, we found a rare pelvic stone encapsulated by the cyst wall, which is different from previous PLBs.…”

Section: Introductioncontrasting

confidence: 73%

A large pelvic stone with urothelial carcinoma on the wall of its cyst: a rare case report

Shen

Xue

Liu

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: The case of a huge pelvic stone with cystic wall urothelial carcinoma is extremely rare. The disease has no specific clinical manifestation, and its formation mechanism is unclear. There is no relevant literature report at present. Case introduction: In this report, a 65-year-old male patient was admitted to our hospital because of frequent urination for more than 5 years and hematuria for half a year. After admission, a cystoscopy was performed and no new organisms were found on the inner wall of the bladder. Computer tomography(CT) showed a high-density shadow mass with a diameter of 61 mm in the pelvic cavity, with soft tissue density at the edge. The cystography results also showed that the high-density mass was located at the back of the bladder, and the inner wall of the bladder was complete. Laparoscopic surgery was performed after the relevant preparations were completed. The whole pelvic mass was removed completely. The inside of the mass was a huge stone with a smooth surface. The pathological examination result of the cyst wall was infiltrating urothelial carcinoma with squamous differentiation. The tumor thrombus was seen in the vein. The stone was cut and analyzed. The results were carbonate apatite and magnesium ammonium phosphate hexahydrate. Follow-up after 3 months showed that the patient was in good condition without urination discomfort. Conclusions: This is an extremely rare case of a high density pelvic stone presenting with cystic mural urothelial carcinoma with a diameter of 61 mm reported in this report. Coupled with the various examinations after admission, leads to speculation that it may have originated from "ectopic bladder" or normal bladder tissue. In the future, this case can serve as a reference for similar cases.

show abstract

Section: Introductioncontrasting

confidence: 73%

A large pelvic stone with urothelial carcinoma on the wall of its cyst: a rare case report

Shen

Xue

Liu

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Most of the PLBs reported have no cyst wall and are free in the abdomen and pelvic cavity, often showing dense, heterogeneous hyperdense calci cations centrally and hypodense soft tissue shadow in the periphery on CT[8, [10][11][12][13]. The results of pathological analysis after surgery were mainly adipose tissue, partially calci ed tissue, and collagen bers with or without hyaluronic [3,12,14], rather than common calculus components. There are no reported cases of high-density shadow stones in the entire pelvic mass.…”

Section: Discussionmentioning

confidence: 99%

“…2 Department of Urology, Xuzhou Central Hospital, Xuzhou,Jiangsu, China. 3 Bengbu Medical college, Bengbu,Anhui,China.…”

Section: Availability Of Data and Materialsmentioning

confidence: 99%

A large pelvic stone with cystic wall urothelial carcinoma in a 65 - year - old male: a case report

Shen

Xue

Liu

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: The case of a huge pelvic stone with cystic wall urothelial carcinoma is extremely rare. The disease has no specific clinical manifestation, and its formation mechanism is unclear. There is no relevant literature report at present. Case introduction: In this report, a 65-year-old male patient was admitted to the hospital due to frequent urination for more than 5 years and hematuria for half a year. After admission, computed tomography(CT) showed a high-density shadow mass with a diameter of 61mm in the pelvic cavity and soft tissue density at the edge. However, cystoscopy did not show any stones in the bladder or any neoplasms in the bladder wall. After the relevant preparations were completed, laparoscopic surgery was performed to remove the whole pelvic mass. Complete dissection of the cyst wall of the mass showed a giant stone with a smooth surface inside. Stone analysis revealed carbonate apatite and magnesium ammonium phosphate hexahydrate. At a 3-month follow-up, the patient was in good condition with no urination discomfort. Conclusions: The case of a huge high-density pelvic stone with cyst wall urothelial carcinoma is extremely rare. Combined with the examination after admission, it is speculated that it may come from "ectopic bladder" or normal bladder tissue, but the specific mechanism of the formation of this disease needs to be further studied. Our report can provide reference for similar cases of pelvic calculus in the future.

show abstract

“…A good understanding of its specific imaging features before surgery can help prevent misdiagnosis and avoid unnecessary surgical exploration. PLBs typically appear as a central calcified nodule on CT [ 8 , 19 ] and does not exhibit obvious contrast enhancement. MRI showed a smooth-surfaced, egg-shaped lesion, which was seen as a low-intensity mass on both T1- and T2-weighted MRI, to the same degree as the muscle tissue [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Peritoneal loose body presenting as a hepatic mass: A case report and review of the literature

Wen

Shang

et al. 2021

Open Medicine

View full text Add to dashboard Cite

Peritoneal loose body (PLB) is a rare clinical entity. It is generally agreed that the most common origin of the loose bodies is appendix epiploica. We here report a case of PLB that looks like a “boiled egg,” which was misdiagnosed preoperatively as a lesion of hepatic origin and was confirmed by operation and postoperative pathology. PLBs are rare entities, a good understanding of their specific imaging features can help prevent misdiagnosis, but sometimes an accurate preoperative diagnosis is still difficult to achieve. Exploratory laparoscopy is a recommended method for management of PLBs.

show abstract

Exploratory laparoscopy as first choice procedure for the diagnosis of giant peritoneal loose body: a case report

Cited by 4 publications

References 13 publications

A large pelvic stone with urothelial carcinoma on the wall of its cyst: a rare case report

A large pelvic stone with urothelial carcinoma on the wall of its cyst: a rare case report

A large pelvic stone with cystic wall urothelial carcinoma in a 65 - year - old male: a case report

Peritoneal loose body presenting as a hepatic mass: A case report and review of the literature

Contact Info

Product

Resources

About