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[Pelvic lipomatosis].

O W Hakenberg¹

¹Klinik und Poliklinik für Urologie, Universitätsklinikum Rostock, Ernst-Heydemann-Str. 6, 18055, Rostock, Deutschland. oliver.hakenberg@med.uni-rostock.de.

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|May 5, 2016

Summary

This summary is machine-generated.

Pelvic lipomatosis is a rare condition of excess pelvic fat causing organ compression. Symptoms like urinary issues and constipation may require surgery, but a cure is unavailable due to unknown causes.

Keywords:

Bladder obstruction Hydronephrosis Lipomatosis Neoplasms Retroperitoneum

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Area of Science:

Urology
Radiology
Pathology

Background:

Pelvic lipomatosis is a rare, benign condition characterized by excessive pelvic fatty tissue.
Its unknown etiology leads to encroachment on pelvic organs, causing potential complications.
Symptoms often manifest as bladder or rectal narrowing and ureteral obstruction.

Purpose of the Study:

To review the clinical presentation and management of pelvic lipomatosis.
To highlight the diagnostic challenges and treatment implications of this rare disease.

Main Methods:

Literature review of reported cases and clinical studies.
Analysis of diagnostic imaging findings (CT, MRI).
Review of surgical and conservative management strategies.

Main Results:

Pelvic lipomatosis commonly affects men, presenting with lower urinary tract symptoms, constipation, and hydronephrosis.
Bladder outlet obstruction and distal ureteral obstruction are significant findings.
Symptomatic upper urinary tract obstruction necessitates surgical intervention.

Conclusions:

Pelvic lipomatosis is a rare condition requiring surgical management for obstructive symptoms.
Current treatment focuses on symptom relief, as causal therapy is not available due to unclear etiology.
Further research into the pathogenesis of pelvic lipomatosis is warranted.