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[Pelvic lipomatosis--what to do?]
1Urologische Klinik, Klinikum St. Marien, Lehrkrankenhaus der Universität Erlangen-Nuremberg, Amberg. rogerberdou@sonnenhof.ch
Der Urologe. Ausg. A
|September 25, 2003
Summary
Pelvic lipomatosis involves diffuse fatty infiltration of intrapelvic organs, causing topographical and functional changes. Conservative treatment is recommended if organ function is not significantly impaired.
Area of Science:
- Urology
- Radiology
- Gastroenterology
Background:
- Pelvic lipomatosis is a rare condition characterized by excessive fatty tissue accumulation within the pelvic cavity.
- This condition can affect various intrapelvic organs, including the bladder, rectum, sigmoid, and colon.
Observation:
- A case study of a 67-year-old male presenting with diffuse fatty infiltration of all intrapelvic organs.
- The fatty infiltration led to characteristic anatomical and functional alterations in the affected organs.
Findings:
- Diagnosis of pelvic lipomatosis is primarily radiological.
- Treatment strategies for pelvic lipomatosis are controversial, ranging from surgical intervention (exeresis of fat tissue, organ resection) to conservative management.
- Conservative treatment, potentially including temporary corticosteroid administration, is advised when organ function is not severely compromised.
Implications:
- The findings suggest that conservative management should be the preferred approach for pelvic lipomatosis in the absence of significant organ dysfunction.
- Further research into optimal treatment strategies for pelvic lipomatosis is warranted.
- Radiological diagnosis is crucial for identifying and assessing the extent of pelvic lipomatosis.