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Pelvic lipomatosis

D Mollitt, J L Glover

    The American Surgeon
    |September 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Pelvic lipomatosis, a rare condition, can present with serious symptoms requiring general surgical evaluation. Awareness of its potential complications and associated diseases is crucial for diagnosis and management.

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    Area of Science:

    • General Surgery
    • Radiology
    • Pathology

    Background:

    • Pelvic lipomatosis is a rare condition with unclear clinical significance.
    • It is often found incidentally during gastrointestinal or genitourinary imaging.
    • Symptoms, when present, are typically urologic.

    Observation:

    • Three patients presented with symptoms necessitating general surgical consultation.
    • Presentations included abdominal pain with a pelvic mass, lower extremity thrombophlebitis, and bowel obstruction.
    • One case involved colonic cancer obscured by pelvic lipomatosis.

    Findings:

    • Pelvic lipomatosis can be associated with significant conditions relevant to general surgeons.
    • Symptoms may extend beyond urologic complaints to general surgical concerns.

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  • Associated diseases, such as colonic cancer, can be masked by lipomatosis.

    • Implications:

    • Increased awareness of pelvic lipomatosis presentation and complications is needed for general surgeons.
    • Thorough, systemic evaluation is essential for affected patients.
    • Exploratory laparotomy may be required for definitive diagnosis and management.