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Large paravaginal pelvic lipoma. A case report.
W B Hull1, M L Blumenfeld, D Jacques
1Department of Obstetrics and Gynecology, Ohio State University Medical Center, Columbus 43210, USA. wbhull@aol.com
The Journal of Reproductive Medicine
|August 12, 1999
Summary
Pelvic lipomas are rare soft tumors. Imaging like ultrasound and CT scans aid diagnosis, and surgical removal is effective for these fatty masses.
Area of Science:
- Reproductive Medicine
- Surgical Oncology
- Diagnostic Imaging
Background:
- Pelvic lipomas are exceptionally rare clinical entities.
- Advanced imaging modalities are crucial for diagnosis and assessment.
Observation:
- A 36-year-old woman presented with symptoms of pelvic pressure and a perineal bulge.
- Pelvic examination revealed a significant soft mass in the left hemipelvis.
- Imaging studies confirmed a fatty tumor without local invasion.
Findings:
- Surgical exploration via laparotomy successfully removed a 400-g pelvic lipoma.
- The lipoma was located in the left paravaginal/paravesical/pararectal space.
- The patient experienced an uncomplicated postoperative recovery.
Implications:
- Pelvic lipoma should be included in the differential diagnosis for soft, solid pelvic tumors.
- Ultrasonography and computed tomography are valuable tools for characterizing pelvic masses.
- Transperineal surgical approaches may be suitable for lipoma resection.