A giant peritoneal loose body
Hyun-Soo Kim1, Ji-Youn Sung, Won Seo Park
1Department of Experimental Analysis, Aerospace Medical Center, Republic of Korea Air Force, Cheongju, Korea.
Korean Journal of Pathology
|September 7, 2013
Summary
Giant peritoneal loose bodies (PLBs) are rare, often found incidentally. This case highlights a large PLB in the pelvic cavity, emphasizing the need for clinical awareness for accurate diagnosis and management.
Area of Science:
- Gastroenterology
- Radiology
- Pathology
Background:
- Peritoneal loose bodies (PLBs) are typically incidental findings.
- Giant PLBs are uncommon and can present with symptoms.
Purpose of the Study:
- To describe a case of a giant peritoneal loose body.
- To highlight diagnostic features and management considerations.
Main Methods:
- Case report of a 50-year-old male.
- Computed tomography (CT) imaging of the pelvic cavity.
- Gross and histological examination of the mass.
Main Results:
- A giant, egg-shaped concretion (7.5×7.0×6.8 cm, 160 g) was incidentally found in the pelvic cavity.
- CT revealed heterogeneous calcifications and peripheral soft tissue.
- Histology showed necrotic fatty tissue surrounded by fibrous material.
Conclusions:
- Giant PLBs can be incidentally discovered.
- Surgical removal may be necessary for symptomatic large PLBs.
- Awareness of this entity is crucial for diagnosis.
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