Symptomatic giant peritoneal loose body in the pelvic cavity: A case report

Elsner, Andreas; Walensi, Mikolaj; Fuenfschilling, Maya; Rosenberg, Robert D.; Mechera, Robert

doi:10.1016/j.ijscr.2016.02.013

Cited by 17 publications

(17 citation statements)

References 15 publications

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“…In addition, the clinical pathogenesis of GPLB remains largely unclear. Several reports 4 – 6 have suggested that PLBs are derived from both intestinal and omental fat. Their formation usually begins with spontaneous torsion of an appendix epiploica, followed by ischemia, saponification, and calcification, and they subsequently increase in size as a result of deposition from free fluid in the abdominal cavity, with a “snowball” effect.…”

Section: Discussionmentioning

confidence: 99%

“…Their formation usually begins with spontaneous torsion of an appendix epiploica, followed by ischemia, saponification, and calcification, and they subsequently increase in size as a result of deposition from free fluid in the abdominal cavity, with a “snowball” effect. 4 – 6 …”

Section: Discussionmentioning

confidence: 99%

“…Exploratory laparoscopy has been widely used by surgeons for the detection and management of PLBs. 2 , 4 , 6 , 9 – 14 The use of laparoscopic procedures is currently increasing, 2 , 10 and laparoscopic surgery can reduce surgical damage, minimize postoperative complications, and shorten recovery time. 15 The current patient was discharged from hospital 3 days after surgery, and his complaint of frequent urination resolved during the follow-up period.…”

Section: Discussionmentioning

confidence: 99%

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

Ruibin

Wan

2020

J Int Med Res

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Peritoneal loose body (PLB) is an extremely rare clinical entity, and its preoperative diagnosis is often difficult. We report a case of giant PLB (GPLB) confirmed by exploratory laparoscopy. A 46-year-old man was admitted to hospital with an abdominal mass and urinary frequency. He underwent clinical and laboratory tests and computed tomography (CT), which indicated a lesion at the bottom of the bladder. Exploratory laparoscopic surgery revealed a GPLB, which was subsequently removed. The patient was comfortable after surgery and was discharged 3 days later. His symptoms of frequent urination improved during the 1-month follow-up period. The egg-shaped mass excised from the peritoneal cavity measured 45 × 40 × 33 mm. This case indicates that exploratory laparoscopy can be considered as the first-choice diagnostic procedure for patients with GPLB.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Ruibin

Wan

2020

J Int Med Res

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“…In most cases, patients present with non-specific symptoms and do not require treatment. However, in cases of giant PLBs, surgical intervention is important for treatment, as giant PLBs are more likely to cause acute or life-threatening symptoms (7). Furthermore, other diseases may not be fully excluded following radiological imaging alone so surgical exploration may be necessary for the definitive diagnosis and treatment of PLBs (8).…”

Section: Introductionmentioning

confidence: 99%

Giant peritoneal loose body: A case report

Guo

Yuan

et al. 2019

biom rep

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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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“…Giant PLBs measuring more than 5 cm are very rare, and only a few cases have been reported. A literature search found 20 cases of giant PLBs ( Table 1 ) [1] , [2] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] . Interestingly, as in our case, most giant PLBs occurred in men over age 50; three female cases were reported.…”

Section: Discussionmentioning

confidence: 99%