Giant Peritoneal Loose Body in the Pelvic Cavity
Jang Joung-Teak, 강행지, 윤지영, 윤서구,
소속 상세정보
( Jang Joung-Teak )
Seoul Song Do Hospital Department of Surgery
강행지 ( Kang Haeng-Ji )
Seoul Song Do Hospital Department of Pathology
윤지영 ( Yoon Ji-Young )
Seoul Song Do Hospital Department of Radiology
윤서구 ( Yoon Seo-Gue )
Seoul Song Do Hospital Department of Surgery
KMID : 0356720120280020108
Abstract
We report a case of a large peritoneal loose body diagnosed on computed tomography. The most common causes of a peritoneal loose body are thought to be torsion and separation of the appendices epiploicae. Peritoneal loose bodies are usually small, 0.5 to 2.5 cm in diameter. However, "giant" peritoneal loose bodies, larger than 4 cm in diameter, are an uncommon disease and present with various symptoms, and are difficult to diagnose preoperatively. Especially, abdominal large peritoneal loose bodies are frequently misdiagnosed as tumorous disease preoperatively. In our case, the loose body appeared as a round pelvic mass with central calcifications and a distinct fat plane separating it from adjacent organs. Preoperatively, we suspected a tumorous lesion from the wall of the upper rectum; however, at laparoscopy, a large peritoneal loose body was detected. An extraction of the giant peritoneal loose body was performed laparoscopically.
키워드
Peritoneal loose body; Appendices epiploicae; Laparoscopic surgery
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