peritoneal loose body

Etiology

• torsed, infarcted, & detached epiploic appendages that transform into fibrotic masses

Pathology

• acellular, laminated, fibrous tissue
• central proteinaceous material with fibrinoid necrosis, surrounded by a ring of calcification

Clinical manifestations

• generally asymptomatic
• physical examination may be unrevealing despite 10x9.5x7.5 cm 220 g mass (case report)

Radiology

• CT of abdomen

Complications

• bowel obstruction
• urinary retention or urinary frequency

Management

• surgical resection (laparoscopy)

More general terms

• abdominal mass