Li RuiBin, Wan ZhiHeng, Li HaoTian
First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology, BaoTou, Inner Mongolia, China.
J Int Med Res. 2020 Oct;48(10):300060520954714. doi: 10.1177/0300060520954714.
Peritoneal loose body (PLB) is an extremely rare clinical entity, and its preoperative diagnosis is often difficult. We report a case of giant PLB (GPLB) confirmed by exploratory laparoscopy. A 46-year-old man was admitted to hospital with an abdominal mass and urinary frequency. He underwent clinical and laboratory tests and computed tomography (CT), which indicated a lesion at the bottom of the bladder. Exploratory laparoscopic surgery revealed a GPLB, which was subsequently removed. The patient was comfortable after surgery and was discharged 3 days later. His symptoms of frequent urination improved during the 1-month follow-up period. The egg-shaped mass excised from the peritoneal cavity measured 45 × 40 × 33 mm. This case indicates that exploratory laparoscopy can be considered as the first-choice diagnostic procedure for patients with GPLB.
腹膜游离体（PLB）是一种极为罕见的临床实体，其术前诊断往往困难。我们报告一例经腹腔镜探查确诊的巨大腹膜游离体（GPLB）病例。一名46岁男性因腹部肿块和尿频入院。他接受了临床和实验室检查以及计算机断层扫描（CT），结果显示膀胱底部有一个病变。腹腔镜探查手术发现一个GPLB，随后将其切除。患者术后情况良好，3天后出院。在1个月的随访期内，他的尿频症状有所改善。从腹腔切除的椭圆形肿块尺寸为45×40×33mm。该病例表明，腹腔镜探查可被视为GPLB患者的首选诊断方法。
