Giant Peritoneal Loose Body in the Pelvic Cavity: Report of a Case

Autor: Nomura, Hiroki, Hata, Fumitake, Yasoshima, Takahiro, Kuwahara, Shinichi, Naohara, Toru, Nishimori, Hidefumi, Nakajima, Futoshi, Yanai, Yoshiyuki, Ono, Keisuke, Hirata, Koichi
Zdroj: Surgery Today; 20031001, Vol. 33 Issue: 10 p791-793, 3p
Abstrakt: This report describes a giant peritoneal loose body in the pelvic cavity. A 63-year-old man who was asymptomatic underwent a routine medical examination, which revealed a tumor in the pelvic space. Computed tomography and magnetic resonance imaging showed a smooth-surfaced mass with two marked calcifications in the central position. Preoperatively, we suspected a calcified leiomyoma originating from the wall of the sigmoid colon; however, at laparoscopic surgery we extracted a hard, egg-shaped mass 5?cm in diameter, with detached appendices epiploicae. Histological examination revealed that this peritoneal loose body was made up of thick layers of fibrous tissue with a few cellular components, and necrotic fat tissue in the central position. Small peritoneal loose bodies are occasionally found during laparotomy or autopsy, but such a large one is very unusual.
Databáze: Supplemental Index