Deciding to Remove or Leave a Peritoneal Loose Body: A Case Report and Review of Literature
| Autor: | Munzir Obaid, Salahddin Gehani |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Laparoscopic surgery
Male Boiled Egg medicine.medical_specialty Abdominal pain medicine.medical_treatment Abdominal cavity Peritoneal Diseases 030218 nuclear medicine & medical imaging Lesion 03 medical and health sciences Mice 0302 clinical medicine food Laparoscopic Surgery medicine Animals Humans Fat necrosis Pelvis Hematuria Peritoneal Loose Body business.industry Calcinosis General Medicine Articles Middle Aged medicine.disease Foreign Bodies food.food Abdominal Pain medicine.anatomical_structure Boiled egg 030220 oncology & carcinogenesis Appendices Epiploicae Female Radiology Differential diagnosis medicine.symptom business Tomography X-Ray Computed |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| Popis: | Patient: Male, 58 Final Diagnosis: Peritoneal loose body Symptoms: Abdominal pain • hematuria Medication: — Clinical Procedure: Diagnostic laparoscopy Specialty: Surgery Objective: Unusual clinical course 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 open or laparoscopic, can be the ultimate diagnostic and therapeutic modality, and the mobility of these calcified lesions may give a preoperative clue to the etiology. It is important to distinguish peritoneal loose bodies from neoplastic or metastatic lesions and to consider it in the differential diagnosis of a calcified mobile pelvic mass. Laparoscopic surgery is safe and effective in the retrieval of symptomatic peritoneal loose bodies. |
| Databáze: | OpenAIRE |
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