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'Boiled egg' in the peritoneal cavity-a giant peritoneal loose body in a 64-year-old man: a case report

Ajit Sewkani1, Aruna Jain, Kk Maudar

  • 1Department of Surgical Gastroenterology & Clinical Nutrition, Bhopal Memorial Hospital and Research Center, Bhopal (MP) 462038, India. drasingh73@gmail.com.

Journal of Medical Case Reports
|July 9, 2011
PubMed
Abstract

Insights

Giant peritoneal loose bodies are rare, often asymptomatic findings. While typically benign, they can cause complications, necessitating careful diagnosis to avoid unnecessary surgery.

Area of Science:

  • Gastroenterology
  • Abdominal Surgery
  • Pathology

Background:

  • Peritoneal loose bodies, or "peritoneal mice," are uncommon, incidental abdominal findings.
  • Giant loose bodies (>5 cm) are exceptionally rare, often originating from infarcted appendices epiploicae.
  • These detached fragments can adhere to abdominal structures, forming "parasitized peritoneal bodies."

Purpose of the Study:

  • To report a case of a giant peritoneal loose body.
  • To discuss the potential origins and diagnostic challenges of large peritoneal loose bodies.
  • To highlight management considerations for these rare entities.

Main Methods:

  • Case report of a 64-year-old male with acute intestinal obstruction.
  • Incidental finding of a 7x5 cm giant loose peritoneal body.
  • Review of literature regarding the genesis and diagnosis of peritoneal loose bodies.

Main Results:

  • A giant loose peritoneal body was incidentally discovered.
  • The case involved a "parasitized peritoneal body" attached to the omentum.
  • Diagnostic modalities present limitations for mobile intra-abdominal lesions.

Conclusions:

  • Giant peritoneal loose bodies are rare and usually asymptomatic, requiring intervention only if complicated.
  • Accurate diagnosis is crucial to prevent unnecessary surgical interventions for uncomplicated cases.
  • Further research into diagnostic imaging for mobile abdominal lesions is warranted.

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