Curious Case of “Boiled Egg” in Peritoneal Cavity- A Giant Peritoneal Loose Body
P. P. Bhadani
Department of Pathology, All India Institute of Medical Sciences, Patna, Bihar, India.
A. Singh *
Department of Pathology, All India Institute of Medical Sciences, Patna, Bihar, India.
P. Das
Department of Pathology, All India Institute of Medical Sciences, Patna, Bihar, India.
U. Anand
Department of G.I. Surgery, All India Institute of Medical Sciences, Patna, Bihar, India.
*Author to whom correspondence should be addressed.
Abstract
Peritoneal Loose Bodies(PLB) are rare lesions which are often asymptomatic. The exact cause of PLB is unknown. However, it has been postulated that the PLB is thought to develop from a spontaneously deformed and infarcted epiploic appendix within the peritoneal cavity. There is the deposition of intra abdominal fluids on its surface, as well as its interaction with the surrounding peritoneum, causes the unique histological structure. A calcified central portion of fat tissue with an exterior concentrically arranged fibrosis, comprising of numerous layers. These are usually found accidentally found during surgery or autopsy. A giant peritoneal loose body with size greater than 5 cm may require surgical exploration and removal. Here, we report a case of giant peritoneal loose body found in pelvic caviy of 63-yr-old man.
Keywords: Peritoneal cavity, autopsy, mice, fibrosis, laprotomy