Peritoneal loose bodies (PLBs) are usually discovered incidentally during laparotomy or autopsy. A few cases of giant PLBs presenting with various symptoms have been reported in the literature. Here, we describe a case of a giant PLB incidentally found in the pelvic cavity of a 50-year-old man. Computed tomography revealed a free ovoid mass in the pelvic cavity that consisted of central dense, heterogeneous calcifications and peripheral soft tissue. The mass was an egg-shaped, hard, glistening concretion measuring 7.5×7.0×6.8 cm and weighing 160 g. This concretion consisted of central necrotic fatty tissue surrounded by concentrically laminated, acellular, fibrous material. Small PLBs usually do not require any specific treatment. However, if PLBs cause alimentary or urinary symptoms due to their large size, surgical removal may be recommended. It is essential for clinicians to be aware of this entity and its characteristic features to establish the correct diagnosis.

Citations

Citations to this article as recorded by  

• Unveiling the rarity: A case report of giant peritoneal loose body
  Abdudin Heru Mehammed, Natnael Alemu Bezabih, Muluken Yifru Gebresilassie, Yohanna Aregawi Hailu, Mengistu Yismie Semahegn, Misganaw Yigletie Damtie
  Radiology Case Reports.2024; 19(11): 5492.     CrossRef
• A Case of a Fixed Giant Peritoneal Loose Body outside the Peritoneum and near the Rectovesical Excavation
  Kotaro Nanno, Seiichi Shinji, Takeshi Yamada, Akihisa Matsuda, Ryo Ohta, Hiromichi Sonoda, Takuma Iwai, Kohki Takeda, Kazuhide Yonaga, Koji Ueda, Sho Kuriyama, Toshimitsu Miyasaka, Hiromasa Komori, Yoshinobu Shioda, Hiroshi Yoshida
  Journal of Nippon Medical School.2023; 90(3): 276.     CrossRef
• A Large Intraperitoneal Free Body in a 69-Year-Old Indian Man: a Case Study
  Siddhartha Sankar Bhattacharjee, Promit Chakraborty
  Indian Journal of Surgery.2022; 84(1): 206.     CrossRef
• Peritoneal loose body presenting as a hepatic mass: A case report and review of the literature
  Yang Wen, Min-jie Shang, Yan-qing Ma, Song-hua Fang, Yuan Chen
  Open Medicine.2021; 16(1): 1356.     CrossRef
• Peritoneal Loose Body in a Patient With Ampullary Adenocarcinoma
  A.V. Pradeep, Abdul Razik, Ankur Goyal, Atin Kumar, Virinder Kumar Bansal, Asuri Krishna
  ACG Case Reports Journal.2021; 8(11): e00680.     CrossRef
• Exploratory laparoscopy as first choice procedure for the diagnosis of giant peritoneal loose body: a case report
  RuiBin Li, ZhiHeng Wan, HaoTian Li
  Journal of International Medical Research.2020;[Epub]     CrossRef
• A rare peritoneal egg: Case report with literature review
  Nilu Malpani Dhoot, Shivaraj Afzalpurkar, Usha Goenka, Vinay Mahendra, Enam Murshed Khan, Arpita Sutradhar, Mahesh Goenka
  Radiology Case Reports.2020; 15(10): 1895.     CrossRef
• A giant peritoneal loose body impacted in the pelvic cavity, a rare and interesting finding during laparotomy
  Ayad A. Mohammed
  International Journal of Surgery: Global Health.2020; 3(6): e24.     CrossRef
• Giant Mobile Intraperitoneal Loose Body
  Mohd Ilyas, Mohd Yaqoob Wani, Musaib Ahmad Dar, Feroze A. Shaheen
  ACG Case Reports Journal.2019; 6(1): e00006.     CrossRef
• Giant peritoneal loose body in a patient with end-stage renal disease
  Nadejda Cojocari, Leonard David
  SAGE Open Medical Case Reports.2018;[Epub]     CrossRef
• Two giant peritoneal loose bodies were simultaneously found in one patient: A case report and review of the literature
  Qingxing Huang, Aihong Cao, Jun Ma, Zhenhua Wang, Jianhong Dong
  International Journal of Surgery Case Reports.2017; 36: 74.     CrossRef
• Laparoscopic extraction of a giant peritoneal loose body: Case report and review of literature
  Keiso Matsubara, Yuji Takakura, Takashi Urushihara, Takashi Nishisaka, Toshiyuki Itamoto
  International Journal of Surgery Case Reports.2017; 39: 188.     CrossRef
• Symptomatic giant peritoneal loose body in the pelvic cavity: A case report
  Andreas Elsner, Mikolaj Walensi, Maya Fuenfschilling, Robert Rosenberg, Robert Mechera
  International Journal of Surgery Case Reports.2016; 21: 32.     CrossRef
• A Case of a Peritoneal Loose Body with the Maximum Diameter of 50 mm
  Yoshihiro MOCHIZUKI, Hiroshi IINO, Michio HARA, Syugo SHIBA, Makoto SUDO, Naoki OISHI, Tetsuo KONDO
  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association).2016; 77(10): 2552.     CrossRef
• Giant peritoneal loose body in the pelvic cavity confirmed by laparoscopic exploration: a case report and review of the literature
  Hong Zhang, Yun-zhi Ling, Ming-ming Cui, Zhi-xiu Xia, Yong Feng, Chun-sheng Chen
  World Journal of Surgical Oncology.2015;[Epub]     CrossRef