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Isolation and Characterization of the Murine Uterosacral Ligaments and Pelvic Floor Organs
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Published on: March 3, 2023

[Lipomatosis pelvis].

Josip Gotovac1, Neven Vrsalović, Davor Librenjak

  • 1Odjel za urologiju, Klinicka bolnica Split, Split, Hrvatska.

Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti
|November 30, 2007
PubMed
Summary

Pelvic lipomatosis can compress the urinary tract or rectosigmoid. Surgical interventions vary, with successful outcomes reported for two patients after pelvic lipomatosis treatment and rectosigmoid resection.

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Area of Science:

  • Urology
  • Gastroenterology
  • Surgical Oncology

Background:

  • Pelvic lipomatosis is a rare condition characterized by benign fatty tumors in the pelvic cavity.
  • These tumors can cause significant morbidity by compressing adjacent organs, including the lower urinary tract and rectosigmoid colon.

Observation:

  • This article presents three cases of pelvic lipomatosis requiring surgical intervention.
  • Case 1: Compression of the lower urinary tract by pelvic lipomatosis.
  • Case 3: Rectosigmoid compression and malignant rectal polyp.
  • Diagnostic confirmation was achieved using ultrasound, intravenous urography, rectoscopy, and computed tomography (CT).

Findings:

  • Surgical outcomes were varied. Case 1 experienced deterioration after ureter reimplantation.
  • Case 2: Successful pelvic lipomatosis debulking and ureteroileocutaneostomy, with good long-term prognosis (14 years).
  • Case 3: Successful resection of pelvic lipomatosis, malignant rectal polyp, and anorectum/sigmoid colon, with a colostomy, and good long-term prognosis (10 years).

Implications:

  • Surgical management of pelvic lipomatosis requires careful consideration of the specific anatomical structures involved.
  • Complex cases, especially those with malignancy, necessitate tailored surgical approaches.
  • Long-term follow-up is crucial to assess the efficacy and potential complications of surgical interventions for pelvic lipomatosis.