Simultaneous excision of pelvic lipoma and robot-assisted radical prostatectomy

Lipoma is a benign mesenchymal tumour that can develop in any part of the body containing adipose tissue. Very few cases of pelvic lipomas have been reported in the literature. Due to their location and slow growth, pelvic lipomas are often asymptomatic for a prolonged time. Thus, on diagnosis, they are usually found to be of considerable size. Due to their size, pelvic lipomas can present causing bladder outlet obstruction, lymphoedema, abdominal and pelvic pain, and constipation, as well as present with deep vein thrombosis (DVT) like symptoms. Patients with cancer have a much higher risk of developing DVT. Here, we describe a case of an incidental finding of pelvic lipoma mimicking DVT in a patient with organ-confined prostate cancer. He eventually underwent simultaneous robot-assisted radical prostatectomy and lipoma excision.