Mobile surgical clip granuloma - "clipoma"
Updates to Case Attributes
Amputated appendices epiploicae account for the vast majority of free peritoneal bodies (also known as peritoneal loose bodies or peritoneal mice). Other differential diagnosisdiagnoses for peritoneal loose bodies include dropped gallstone, foreign body including surgical clip, fecalith, calcified dermoid, calcified echinococcal cyst, calcified uterine/gastric leiomyoma and spontaneous amputated ovary. Although, dropped surgical clips have been known to be peritoneal loose bodies, the surgical clip granuloma presenting as a peritoneal loose body is quite rare.
Usually, the peritoneal loose bodies are innocuous and not clinically significant. There have been few case reports where peritoneal loose bodies were the etiology of urinary retention, bowel obstruction and chronic abdominal pain. The management of symptomatic loose bodies is usually surgical removal via laparoscopy.
-<p>Amputated appendices epiploicae account for the vast majority of free peritoneal bodies (also known as peritoneal loose bodies or peritoneal mice). Other differential diagnosis for peritoneal loose bodies include dropped gallstone, foreign body including surgical clip, fecalith, calcified dermoid, calcified echinococcal cyst, calcified uterine/gastric leiomyoma and spontaneous amputated ovary. Although, dropped surgical clips have been known to be peritoneal loose bodies, the surgical clip granuloma presenting as peritoneal loose body is quite rare.</p><p>Usually the peritoneal loose bodies are innocuous and not clinically significant. There have been few case reports where peritoneal loose bodies were the etiology of urinary retention, bowel obstruction and chronic abdominal pain. The management of symptomatic loose bodies is usually surgical removal via laparoscopy.<!--[if gte mso 9]><xml>- +<p>Amputated appendices epiploicae account for the vast majority of free peritoneal bodies (also known as peritoneal loose bodies or peritoneal mice). Other differential diagnoses for peritoneal loose bodies include dropped gallstone, foreign body including surgical clip, fecalith, calcified dermoid, calcified echinococcal cyst, calcified uterine/gastric leiomyoma and spontaneous amputated ovary. Although dropped surgical clips have been known to be peritoneal loose bodies, the surgical clip granuloma presenting as a peritoneal loose body is quite rare.</p><p>Usually, the peritoneal loose bodies are innocuous and not clinically significant. There have been few case reports where peritoneal loose bodies were the etiology of urinary retention, bowel obstruction and chronic abdominal pain. The management of symptomatic loose bodies is usually surgical removal via laparoscopy.<!--[if gte mso 9]><xml>
Updates to Link Attributes
Updates to Link Attributes
Updates to Primarylink Attributes
Updates to Study Attributes
On subsequent CT obtained two years later, mass has moved to posterior deep pelvis (arrows). The bone window (third image) better depicts the surgical clip in the center (arrowhead).
Image 1 CT (non-contrast) ( update )
Image 2 CT (bone window) ( update )
Updates to Study Attributes
On initial CT, a large oval 6 x 5 cm circumscribed smooth innocuous mass is present in left deep inguinal fossa (arrows). The mass had a surgical clip in the center. On subsequent CT obtained two years later, mass has moved to posterior deep pelvis (arrows). The bone window (third image) better depicts the surgical clip in the center (arrowhead).
Unable to process the form. Check for errors and try again.