tailieunhanh - Báo cáo khoa học: "’Boiled egg’ in the peritoneal cavity-a giant peritoneal loose body in a 64-year-old man: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: ’Boiled egg’ in the peritoneal cavity-a giant peritoneal loose body in a 64-year-old man: a case report. | Sewkani et al. Journal of Medical Case Reports 2011 5 297 http content 5 1 297 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Boiled egg in the peritoneal cavity-a giant peritoneal loose body in a 64-year-old man a case report Ajit Sewkani1 Aruna Jain2 KK Maudar1 and Subodh Varshney1 Abstract Introduction Peritoneal loose bodies or peritoneal mice are rare asymptomatic lesions that are usually found as an incidental finding during abdominal surgery or autopsy. Giant loose bodies measuring more than 5 cm are rare and only a few cases are reported in the literature. These bodies are usually infarcted appendices epiploicae which become detached and appear as a peritoneal loose body in the abdominal cavity. They may re-attach themselves to a surface such as the lower aspect of the spleen or omentum in which case they can be called a parasitized peritoneal body as in our case. Case Presentation We report a case of a giant loose peritoneal body measuring 7 X 5 cm found incidentally in a 64-year-old Indian man who presented with acute intestinal obstruction. We present the current hypothesis and our opinion on the genesis of such large bodies and discuss the problems in diagnosis. Conclusion Peritoneal loose bodies are common but giant peritoneal loose bodies are very rare. These giant bodies usually do not require any treatment until they become complicated. Present diagnosis modalities have limitations in the diagnosis of mobile lesions in the abdominal cavity so care must be taken to avoid unnecessary laparotomies in uncomplicated cases. Introduction Peritoneal loose bodies are rare and found incidentally at laparotomy. In most cases they are small in size usually less than 1 cm . Giant loose bodies more than 5 cm are very rare and only a few cases have been reported in the literature 1-10 . Its exact pathogenesis is not known but the most common origin of these bodies are appendices epiploicae by the sequential process of torsion .