Buitrago Sivianes Soledad, Tallada Buñuel Miguel, Vicente Prados Francisco Javier, Espejo Maldonado Eduardo, Ruiz Carazo Eduardo, Martínez Morcillo Antonio, Cózar Olmo José Manuel, Rosales Leal José Luis, Rodríguez Herrera Francisco, Ortiz Gorraiz Manuel
Servicio de Urología, Hospital Universitario Virgen de las Nieves, Granada, España.
Arch Esp Urol. 2002 Oct;55(8):900-6.
We report three cases of pelvic lipomatosis, and from them we discuss its diagnostic and therapeutic considerations.
METHODS/RESULTS: Three patients, 71, 65 and 61 years old respectively, presented with irritative lower urinary tract symptoms. Intravenous pyelogram (IVP) and CT scan were performed as diagnostic procedures. After diagnosis an endoscopic evaluation including biopsies was performed to rule out tumours. All three underwent Bricker-Wallace II type urinary diversion resulting in good control of irritative symptoms. During follow-up one patient presented with an infiltrative bladder tumour.
Pelvic lipomatosis is a rare disease; although traditionally has been considered benign it can result in urinary tract obstruction with severe physiopathological consequences. IVU and CT-scan are valuable to confirm the diagnosis. Lower urinary tract symptoms are controlled with urinary diversion without cystectomy but potential malignization of the bladder lesions should make us reconsider treatment.
我们报告三例盆腔脂肪增多症病例，并据此讨论其诊断和治疗要点。
方法/结果：三名患者分别为71岁、65岁和61岁，均表现为刺激性下尿路症状。采用静脉肾盂造影（IVP）和CT扫描作为诊断手段。确诊后进行了包括活检在内的内镜评估以排除肿瘤。所有三名患者均接受了Bricker-Wallace II型尿流改道术，刺激性症状得到良好控制。随访期间，一名患者出现浸润性膀胱肿瘤。
盆腔脂肪增多症是一种罕见疾病；尽管传统上被认为是良性的，但它可导致尿路梗阻并产生严重的生理病理后果。静脉尿路造影（IVU）和CT扫描对确诊很有价值。通过尿流改道术可控制下尿路症状，无需膀胱切除术，但膀胱病变的潜在恶性变应促使我们重新考虑治疗方案。
