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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
Background:
Pelvic lipoma is an extremely rare problem. Current imaging techniques are very helpful in diagnosis and assessment.
Case:
A 36-year-old woman, gravida 2, para 3, presented with pelvic pressure and a bulging perineum on the left side. Pelvic examination revealed an 8 x 10-cm, soft mass filling the left hemipelvis. Pelvic ultrasound and computed tomography delineated the mass and suggested a fatty tumor without invasion of surrounding structures. Via laparotomy, a 400-g lipoma was removed from the left paravaginal/ paravesical/pararectal space. The patient had an uneventful recovery.
Conclusion:
Pelvic lipoma should be considered in the differential diagnosis of a soft, solid tumor filling the lateral pelvis. Ultrasonography and computed tomography are very helpful in assessing the nature of the mass. Removal can be done with a transperineal approach.