Unexpected Peritoneal Loose Body Discovered During Laparoscopic Varicocelectomy: A Case Report.
- 1Department of General Surgery, Urology and Anesthesia, Faculty of Medicine, The Hashemite University, Zarqa, Jordan.
- 2Department of General Surgery, Urology Division, Prince Hamza Hospital, Amman, Jordan.
Abstract
BACKGROUND Peritoneal loose bodies (PLBs) are rare, benign intraperitoneal entities usually discovered incidentally during abdominal surgery or imaging. Their occurrence during urologic laparoscopy appears to be infrequently reported and may create intraoperative diagnostic uncertainty when encountered unexpectedly. CASE REPORT A healthy 22-year-old Jordanian man with no history of abdominal or pelvic surgery underwent bilateral laparoscopic varicocelectomy for symptomatic varicoceles. Dense sigmoid adhesions over the left internal inguinal ring required careful adhesiolysis to expose the spermatic vessels. During dissection, a smooth, freely mobile ovoid structure was identified within the left paracolic gutter and retrieved laparoscopically. Histopathological examination demonstrated necrotic adipose tissue with dystrophic calcification, confirming a PLB. The patient recovered uneventfully and reported resolution of his preoperative symptoms at the 3-week postoperative follow-up. CONCLUSIONS This report highlights that a PLB may be encountered unexpectedly even in a healthy patient with no history of abdominal or pelvic surgery who is undergoing an elective, limited-field laparoscopic urologic procedure. In the present case, the lesion's smooth surface, complete mobility, lack of visible vascular attachment, and firm, rubbery consistency supported intraoperative consideration of a benign PLB. This observation supports awareness that a similar freely mobile, avascular intraperitoneal body encountered unexpectedly during laparoscopy may represent a benign PLB; however, broader management implications cannot be established from a single case. Histopathological confirmation remains important when the diagnosis is uncertain.
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BibTeX
@article{alsmadi2026unexpected,
title = {{Unexpected Peritoneal Loose Body Discovered During Laparoscopic Varicocelectomy: A Case Report.}},
author = {Jad K Alsmadi and Anas A Al-Bdour and Ahmad F Abuo'waida},
journal = {The American journal of case reports},
year = {2026},
month = oct,
doi = {10.12659/ajcr.954629},
url = {https://europepmc.org/article/MED/42873738},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Unexpected Peritoneal Loose Body Discovered During Laparoscopic Varicocelectomy: A Case Report.
AU - Jad K Alsmadi
AU - Anas A Al-Bdour
AU - Ahmad F Abuo'waida
PY - 2026
DA - 2026/10/14
JO - The American journal of case reports
DO - 10.12659/ajcr.954629
UR - https://europepmc.org/article/MED/42873738
AB - BACKGROUND Peritoneal loose bodies (PLBs) are rare, benign intraperitoneal entities usually discovered incidentally during abdominal surgery or imaging. Their occurrence during urologic laparoscopy appears to be infrequently reported and may create intraoperative diagnostic uncertainty when encountered unexpectedly. CASE REPORT A healthy 22-year-old Jordanian man with no history of abdominal or pelvic surgery underwent bilateral laparoscopic varicocelectomy for symptomatic varicoceles. Dense sigmoid adhesions over the left internal inguinal ring required careful adhesiolysis to expose the spermatic vessels. During dissection, a smooth, freely mobile ovoid structure was identified within the left paracolic gutter and retrieved laparoscopically. Histopathological examination demonstrated necrotic adipose tissue with dystrophic calcification, confirming a PLB. The patient recovered uneventfully and reported resolution of his preoperative symptoms at the 3-week postoperative follow-up. CONCLUSIONS This report highlights that a PLB may be encountered unexpectedly even in a healthy patient with no history of abdominal or pelvic surgery who is undergoing an elective, limited-field laparoscopic urologic procedure. In the present case, the lesion's smooth surface, complete mobility, lack of visible vascular attachment, and firm, rubbery consistency supported intraoperative consideration of a benign PLB. This observation supports awareness that a similar freely mobile, avascular intraperitoneal body encountered unexpectedly during laparoscopy may represent a benign PLB; however, broader management implications cannot be established from a single case. Histopathological confirmation remains important when the diagnosis is uncertain.
SN - 1941-5923
ER -