A Giant Peritoneal Loose Body: Report of a Case

2007 ◽  
Vol 73 (9) ◽  
pp. 895-896 ◽  
Author(s):  
Tomomi Mohri ◽  
Toshio Kato ◽  
Hiroshi Suzuki
Keyword(s):  
Loose Body ◽  
Surgical Removal ◽  
Loose Bodies ◽  
Observation Period

Peritoneal loose bodies are usually small, 0.5 to 2.5 cm in diameter, and rarely cause symptoms. However, “giant” peritoneal loose bodies, larger than 5 cm in diameter, presenting with various symptoms have been also reported. We report here a case of a “giant” peritoneal loose body found in a 73-year-old man. In this case, the peritoneal loose body was 9.5 cm in diameter, comparable to the largest one reported in the literature. The patient refused any treatment at his first visit but accepted surgical removal of the peritoneal loose body 5 years later. The size of the peritoneal loose body has increased from 7.3 cm to 9.5 cm in diameter during this observation period.

Pisotriquetral Loose Body

1994 ◽  
Vol 19 (2) ◽  
pp. 215-216 ◽  
Author(s):  
M. NEEDOFF ◽  
S. P. FROSTICK
Keyword(s):  
Loose Body ◽  
Wrist Pain ◽  
Surgical Removal ◽  
X Rays

A loose body flicking in and out of the pisotriquetral joint was found to be the cause of intermittent wrist pain and locking in two patients. Appropriate X-rays gave the diagnosis and surgical removal provided a satisfactory cure.

scholarly journals Pathological diagnosis of peritoneal loose body: a case report

2013 ◽  
Vol 3 (6) ◽  
pp. 512-514 ◽  
Author(s):  
M Rajbhandari ◽  
A Karmacharya ◽  
S Shrestha
Keyword(s):  
Case Report ◽  
Incidental Findings ◽  
Loose Body ◽  
Pathological Diagnosis ◽  
Pelvic Cavity ◽  
Loose Bodies ◽  
Dependent Part ◽  
Pelvic Masses

Peritoneal loose bodies are usually incidental findings at laparotomy. Their sizes range from that of a pea to giant loose bodies. We report a case of giant loose peritoneal body measuring 5x 4 cm found incidentally in a 67 year old man. Mobile pelvic masses are extremely rare findings. They are usually located in the pelvic cavity due to the fact that they gravitate to the most dependent part of the pelvic cavity. Usually these peritoneal loose bodies are left untreated until complications arise. DOI: http://dx.doi.org/10.3126/jpn.v3i6.9005   Journal of Pathology of Nepal (2013) Vol. 3, 512-514

scholarly journals Locked Wrist: A Case Report and Literature Review on Pisotriquetral Loose Bodies

2020 ◽  
Vol 9 (06) ◽  
pp. 518-522
Author(s):  
R. Gil Thompson ◽  
George C. Poulis ◽  
Gary M. Lourie
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Imaging Techniques ◽  
Case Reports ◽  
Loose Body ◽  
Radiographic Imaging ◽  
Loose Bodies ◽  
Advanced Imaging ◽  
Radiographic Findings ◽  
Magnetic Resonance Imaging Mri

Abstract Background Pisotriquetral (PT) loose bodies have been described in the literature only a few times as case reports. While PT pathology remains the differential for ulnar-sided wrist pain, it can often be difficult to diagnose, as symptoms can be variable and radiographic imaging may be negative for any findings. Case Description A 24-year-old major league baseball player presented with pain and locking of his wrist during follow through of his bat swing. Plain radiographic imaging, as well as computed tomography (CT) imaging, was negative for any pathology. Dynamic magnetic resonance imaging (MRI) demonstrated a loose body which entered the PT joint when the wrist was moved into a flexed position. This caused entrapment of the loose body and locking of the wrist. Literature Review A total of 17 reported patients in the literature have been diagnosed with a PT loose body. The clinical examination findings, radiographic findings, and surgical findings are reviewed. Case Relevance PT loose bodies can present a challenging clinical picture to diagnose. The purpose of this case report is to review the appropriate clinical workup, including common examination findings and advanced imaging techniques, to help the clinician with the diagnosis.

Spatial distribution characteristics of loose bodies in Huaishu River levee and their influence on seepage field

2021 ◽  
pp. qjegh2020-163
Author(s):  
Shan Gao ◽  
Yuan Wang ◽  
Sheng Liu
Keyword(s):  
Spatial Distribution ◽  
Loose Body ◽  
Poor Quality ◽  
Distribution Characteristics ◽  
Loose Bodies ◽  
Seepage Field ◽  
Biological Damage ◽  
Spatial Distribution Characteristics ◽  
Ground Penetrating ◽  
Quality Construction

At present, many levees contain a large number of loose bodies as a result of poor-quality construction, biological damage, and other factors. In this context, loose bodies refer to soil with a relative density less than a specified value. Taking the Huaishu River levee in China as an example, this paper studies the distribution characteristics of loose bodies in the levee using statistical methods. First, ground-penetrating radar and other geophysical exploration methods are used to investigate loose bodies in the levee. The frequency distribution and Shapiro–Wilk method are then employed to study the distribution characteristics of the area and depth of loose bodies. The influence of loose bodies on the seepage field of the levee is then examined considering the spatial distribution of the loose bodies. It was found that the areas of loose bodies in the western and eastern upstream slope obey a logarithmic normal distribution. In the shallow layer (depth between 0–1 m), loose bodies appear relatively frequently, and the frequency initially increases with depth before decreasing. The maximum hydraulic gradient of the levee initially increases and then decreases as the depth of the loose body increases.

scholarly journals Recurrence of Patellar Instability in Adolescents Undergoing Surgery for Osteochondral Defects Without Concomitant Ligament Reconstruction

2018 ◽  
Vol 47 (1) ◽  
pp. 66-70 ◽  
Author(s):  
Jason M. Pedowitz ◽  
Eric W. Edmonds ◽  
Henry G. Chambers ◽  
M. Morgan Dennis ◽  
Tracey Bastrom ◽  
...  
Keyword(s):  
Risk Factors ◽  
Patient Satisfaction ◽  
Patellar Dislocation ◽  
Patellar Instability ◽  
Loose Body ◽  
Secondary Outcome ◽  
Loose Bodies ◽  
Recurrent Instability ◽  
Instability Rate

Background: First-time patellar dislocation with an associated chondral or osteochondral loose body is typically treated operatively to address the loose fragment. The incidence of recurrent instability in this patient population if the medial patellofemoral ligament (MPFL) is not reconstructed is unknown. Purpose: To determine the recurrent instability rate in patients undergoing surgery for patellar instability with chondral or osteochondral loose bodies, as well as to identify and stratify risk factors for recurrent instability. Study Design: Case series; Level of evidence, 4. Methods: This was a retrospective analysis of adolescent patients treated operatively for acute patellar dislocation with associated chondral or osteochondral loose bodies between 2010 and 2016 at a single pediatric level I trauma center with minimum 2-year follow-up. Potential demographic, injury-related, radiographic, and surgical risk factors were recorded. The primary outcome variable was recurrent subluxation and/or dislocation. Secondary outcome variables included need for additional procedures, Kujala score, Single Assessment Numerical Evaluation (SANE) score, and patient satisfaction. Results: Forty-one patients were included. In total, 61% experienced recurrent instability at a mean follow-up of 4.1 years and 39% required subsequent MPFL reconstruction. Tibial tubercle-trochlear groove (TT-TG) distance greater than 15 mm was a risk factor for recurrent instability ( P = .03). Patients with TT-TG distance greater than 15 mm and greater than 20 mm had recurrent instability rates of 75% and 86%, respectively. MPFL repair did not reduce the rate of recurrent instability ( P = .87). Recurrent instability was associated with significantly worse mean Kujala (93.9 vs 83.0; P = .01), SANE (88.9 vs 73.1; P = .01), and patient satisfaction scores (9.4 vs 7.3; P = .002). Conclusion: If the MPFL is not reconstructed during index loose body treatment, children have a 61% recurrent instability rate. Patients with TT-TG distance greater than 15 mm, and particularly greater than 20 mm, are at highest risk for recurrent instability.

Analgesic Efficacy and Side-Effect Profile of Paracetamol/Codeine and Paracetamol/Dextropropoxyphene after Surgical Removal of a Lower Wisdom Tooth

1987 ◽  
Vol 15 (2) ◽  
pp. 83-88 ◽  
Author(s):  
S. Sagne ◽  
P.-Å. Henrikson ◽  
K.-E. Kahnberg ◽  
H. Thiiander ◽  
S. O. Bertilson
Keyword(s):  
Side Effects ◽  
Pain Relief ◽  
Analgesic Efficacy ◽  
Surgical Removal ◽  
Side Effect Profile ◽  
Wisdom Tooth ◽  
Double Blind ◽  
Patient Groups ◽  
The Mean ◽  
Observation Period

A double-blind randomized analgesic trial was carried out on 180 patients undergoing surgical removal of an impacted lower wisdom tooth. The patients took their first dose of either 1000 mg paracetamol plus 60 mg codeine or 650 mg paracetamol plus 65 mg dextropropoxyphene when pain appeared after the decline of the local anaesthesia. If needed, another two doses were available during the observation period (≤10 h). The analgesic efficacy of paracetamol/codeine was overall superior to paracetamol/dextropropoxyphene in all variables. Sufficient pain relief was obtained in most patients. The pain reduction after the first dose was 64% in the group receiving paracetamol/codeine compared with 53% in the group receiving paracetamol/dextropropoxyphene and the mean durations of effect of the first dose were 6.6 and 5.8 h, respectively. Side-effects appeared in all patient groups but were most frequent in women taking paracetamol/codeine.

GIANT OSTEOCHONDRAL LOOSE BODY OF THE KNEE JOINT

2000 ◽  
Vol 04 (02) ◽  
pp. 145-149 ◽  
Author(s):  
Mustafa Yel ◽  
Mustafa Cihat Avunduk ◽  
Recep Memik ◽  
Abdurrahman Kutlu
Keyword(s):  
Synovial Fluid ◽  
Knee Joint ◽  
Loose Body ◽  
Cartilaginous Tissue ◽  
Loose Bodies ◽  
Knee Motion ◽  
Normal Bone ◽  
Histopathological Evaluation ◽  
Femoral Condyles ◽  
Over Time

A rare giant loose body in the knee joint and the treatment carried out were reported. Two loose bodies sized 5.5 and 1.5 cm were extracted from the knee of a patient who suffered from pain and knee motion restricted chronically. The histopathological evaluation revealed normal bone, hyaline cartilaginous tissue, and partly fibrocartilaginous tissue. These loose bodies suggested that they were separated in small pieces from the femoral condyles and were nourished by the synovial fluid. Over time, they adhered to each other in the knee joint.

Synovial Chondromatosis of the Foot and Ankle

2008 ◽  
Vol 29 (3) ◽  
pp. 312-317 ◽  
Author(s):  
Daniel D. Galat ◽  
Duncan B. Ackerman ◽  
Daniel Spoon ◽  
Norman S. Turner ◽  
Thomas C. Shives
Keyword(s):  
Malignant Transformation ◽  
Surgical Excision ◽  
Synovial Chondromatosis ◽  
Loose Body ◽  
Normal Function ◽  
Low Grade ◽  
Foot And Ankle ◽  
Loose Bodies ◽  
Benign Condition ◽  
Institutional Review

Background: Synovial chondromatosis (SC) is a benign condition where the synovial lining of joints, bursae, or tendon sheaths undergoes metaplasia and ultimately forms cartilaginous loose bodies. Synovial chondromatosis of the foot and ankle is exceedingly rare, and outcomes following surgical excision are largely unknown. Materials and Methods: An Institutional Review Board-approved retrospective review of our institution's surgical database from 1970 to 2006 revealed 8 patients with SC of the foot and/or ankle confirmed by pathology. Results: Eight patients (4 female and 4 male) presented with pain, locking, or stiffness. Average age at presentation was 37 (range, 19 to 60) years. Average followup was 9.5 (range, 1 to 31) years. Six patients had involvement of the ankle, and two, the midfoot. Four patients underwent ankle synovectomy with loose body removal, and were pain-free at last followup. One patient underwent excision and midfoot arthrodesis for severe midfoot destruction. Three patients ultimately underwent below knee amputation, one for multiple recurrences and two for malignant transformation to low-grade chondrosarcoma. Conclusion: To our knowledge, this is the largest reported series of patients with SC of the foot and ankle. In half the patients, synovectomy with excision of loose bodies resulted in pain free return to normal function, without recurrence, at last followup. However, recurrence occurred in 3 (37.5%) of 8 patients with subsequent malignant transformation to low-grade chondrosarcoma occurring in 2 patients.

scholarly journals Loose intra-articular body in the temporomandibular joint: case report of a successful conservative management

2021 ◽  
Author(s):  
Yumi C Del Rey ◽  
Hian Parize ◽  
Christiano Oliveira-Santos ◽  
Marina G Almeida
Keyword(s):  
Temporomandibular Joint ◽  
Conservative Management ◽  
Temporomandibular Disorder ◽  
Mouth Opening ◽  
Signs And Symptoms ◽  
Loose Body ◽  
Low Level Laser Therapy ◽  
Surgical Removal ◽  
Invasive Approach ◽  
The Right

Loose intra-articular bodies are a rare finding in the temporomandibular joint. Surgical removal of the loose bodies isoften described as the only treatment option; however, it presents possible postoperative complications. The aim of thispaper is to report the successful conservative management of a temporomandibular disorder associated with a singleloose intra-articular body. A 62-year-old woman presented with pain in the right temporomandibular joint andpre-auricular region, limited mouth opening and open-lock episodes. Panoramic radiography and cone-beam computedtomography exams revealed the presence of a single loose body located anterior to the right condyle. Magnetic resonanceimages showed bilateral anterior disc displacement without reduction. A non-invasive approach consisting of an occlusalsplint and low-level laser therapy associated with home-based physical therapy was performed for management ofclinical signs and symptoms. The patient was followed up for 2 years and presented significant pain reduction andimprovement in the range of mandibular movements. The combination of conservative therapies may be an alternativefor surgical intervention to control pain and improve mandibular function in patients with temporomandibulardysfunction associated with a loose body in the temporomandibular joint.

scholarly journals A Giant Egg-like symptomatic Loose Body in the Peritoneal Cavity: A Case Report

1970 ◽  
Vol 29 (6) ◽  
Author(s):  
Berhanetsehay Teklewold ◽  
Anteneh Kehaliw ◽  
Melat Teka ◽  
Bereket Berhane
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Incidental Finding ◽  
Loose Body ◽  
Loose Bodies ◽  
Diagnostic Challenge ◽  
First Case ◽  
Appendices Epiploicae ◽  
The One ◽  
High Index Of Suspicion

Background: Peritoneal loose bodies are rare lesions that are usually found as an incidental finding during abdominal surgery. Large loose bodies, measuring more than 5 cm, are rare and only a few cases are reported in the literature. Peritoneal loose bodies are usually infarcted appendices epiploicae, which become detached and appear as a peritoneal loose body in the abdominal cavity.Case Presentation: We report here the first case, in the local Ethiopian context, of a giant “egg-like” loose peritoneal body measuring 7 × 6 cm found in a 50-year-old man who presented with a cramping abdominal pain and features of abdominal obstruction. The current hypothesis as regards these bodies and the diagnostic challenges is discussed.Conclusion: Small peritoneal loose bodies are common but giant and symptomatic ones’, like the one discussed here, are very rare and a diagnostic challenge. And, in the context of intestinal obstruction, a high index of suspicion is needed in order to diagnose them.

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