Pelvic Lipomatosis in a Female: Diagnosis and Initial Therapy

Abstract

The extremely rare case of pelvic lipomatosis in a woman is reported (4 cases in the literature). The patient suffered from symptoms of irritable bladder. Treatment included hysterectomy and extension of the bladder resulting in a significant reduction of frequency. Prognostic criteria of the progressive benign disease and therapeutic modalities are discussed.

Pelvic Lipomatosis in a Child

“…Pelvic lipomatosis is a rare benign disease usually reported in adults [1]. Only 1 pediatric case has been reported and this case had Cushing's syndrome [2].…”

“…Complete surgical excision has been attempted with success in a few cases. To prevent deterioration in renal function from progressive obstruction, routine follow-up with 6-monthly renal function and upper tract imaging every 2 years is required [1,3].…”

“…The disease is found almost exclusively in males in the 3rd to 6th decades of life [1]. It is extremely rare in the pediatric population [2].…”

“…Proliferating adipose tissue may compress the pelvic viscera leading to obstruction of the urinary tract, rectum and vena cava. Although the disease is a benign condition, it may have serious consequences and is often mistaken for a pelvic neoplasm [1,3].…”

Welche Therapie bei Lipomatosis pelvis?

“…Die computertomographisch typische Fetteinscheidung von Harnblase und Rektum (Abb. 2 b) (Hounsfieldeinheiten zwischen -40 bis -110) sichert in der Mehrzahl der Fälle die Diagnose(3,5,8,22,24,40). Bei Zunahme fibröser Anteile (Abb.…”