An incidental rare presentation of peritoneal loose body in inguinal hernial sac

A 56 yr old male presented with swelling over the right groin for a period of 6 months,which had become painful and irreducible for 2 days. Examination findings revealed an oval swellingof size 7 x 6 cm extending from deep inguinal ring to root of the scrotum that was irreducible. Intraoperatively, indirect hernia sac contained omentum encasing a single large peritoneal loose bodywhich was removed and the tension free Liechtensteins hernia repair was completed. PeritonealLoose body means a structure which has worked free from the lining of abdomen, resembling theloose bodies found in joints. It may be found incidentally at laparotomy or give rise to no definitesymptoms. The peritoneal loose body in the hernia sac has not been documented in literature.