Endoscopic extraction of a peritoneal loose body: a case report of an infant

Koushi Asabe1, Takafumi Maekawa, Yuichi Yamashita

  • 1Second Department of Surgery, Fukuoka University School of Medicine, 45-1, 7-chome Nanakuma Jonan-ku, Fukuoka, 814-0180, Japan. asabe@fukuoka-u.ac.jp

Insights

A rare case of a peritoneal loose body presenting as an abdominal mass in an infant is detailed. This condition, typically seen in adults, should be considered in pediatric abdominal masses.

Area of Science:

  • Pediatric Surgery
  • Abdominal Imaging
  • Urology

Background:

  • Peritoneal loose bodies are uncommon intra-abdominal findings.
  • They are typically identified in the pelvic region of adult patients.
  • The etiology and presentation in pediatric populations are not well-established.

Observation:

  • A 2-month-old female infant presented with an abdominal mass.
  • The abdominal mass was diagnosed as a peritoneal loose body.
  • The infant also experienced a urinary tract infection.

Findings:

  • The peritoneal loose body was mobile and presented as a significant abdominal mass.
  • This finding is atypical given the usual location in adult patients.
  • The association with urinary tract infection in this infant warrants further investigation.

Implications:

  • This case highlights the importance of considering peritoneal loose bodies in the differential diagnosis of pediatric abdominal masses.
  • Early recognition and diagnosis are crucial for appropriate management.
  • Further research is needed to understand the specific presentation and management of peritoneal loose bodies in infants and children.

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