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CT-scan (coronal plane) showing a spherical mass (arrow) in the true pelvis with central calcifications, surrounded by soft tissue and lacking obvious connection to other organs.
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The CT-scan of the abdomen revealed a proctitis as well as a spherical mass in the lesser pelvis (Fig. 1).
Intraoperative view during laparoscopy showing the freely floating, glistering gPLB in the lesser pelvis.
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Due to the chronic abdominal discomfort for years and the finding in the CT-scan, we decided to perform a diagnostic laparoscopy (Fig. 2), presuming a calcified foreign body, left over after the appendectomy nearly 30 years ago.
gPLB after extraction from the abdominal cavity, measuring 5.2 x 4.5 x 4.2 cm with a white, shiny surface.
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Finally, that gPLB was extracted through a small infraumbilical laparotomy (Fig. 3).