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Related Experiment Videos

Pelvic lipomatosis.

W L Old, T L Stokes

    Surgery
    |February 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Pelvic lipomatosis, a nonmalignant fatty tissue overgrowth, can present to general surgeons and cause urinary obstruction. Management is challenging due to difficult surgical planes, often necessitating urinary diversion.

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    Area of Science:

    • Urology
    • General Surgery
    • Radiology

    Background:

    • Pelvic lipomatosis, also known as perivesical lipomatosis, is a rare condition characterized by benign fatty tissue proliferation in the pelvic region.
    • Its etiology remains unknown, and it typically affects middle-aged, nonobese men.

    Observation:

    • Patients often present with urinary symptoms like dysuria and suprapubic fullness.
    • Physical examination may reveal a high prostate position.
    • Radiological findings include a gourd-shaped bladder and radiolucent fatty tissue on urinary tract roentgenograms.

    Findings:

    • Diagnostic challenges include difficult cystoscopy due to urethral elongation and extrinsic rectal compression on sigmoidoscopy/barium enema.
    • Pelvic venography may show venous compression, but arteriography does not indicate neoplastic vessels.

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  • Fat metabolism studies are generally uninformative.

    • Implications:

    • Surgical management is often complicated by the lack of clear dissection planes.
    • Progressive lower ureteral obstruction is a common complication, potentially requiring urinary diversion.
    • This review includes four new cases and a literature review of 57 previous cases.