Oka H, Hatayama T, Taki Y, Hida S, Ueyama H, Komatz Y
Department of Urology, Kyoto City Hospital.
Hinyokika Kiyo. 1991 May;37(5):549-52.
This is a report of the fifth case of pelvic lipomatosis in Japan. A 52-year-old man presented himself in our hospital with a complaint of left lower abdominal pain on August 28, 1988. At that time, physical examination was unremarkable with the exception of mild obesity. The excretory urogram and retrograde pyelogram revealed left hydroureteronephrosis with tapering of the left lower ureter. Urethrocystogram showed an elongated posterior urethra with anterior displacement and elevation of the bladder. Computed tomography revealed excess of diffuse fatty tissue in the pelvic space with bladder deformity and rectal compression. Pelvic arteriogram demonstrated no neovascularity. A diagnosis of pelvic lipomatosis was established. He lost 6 kg by diet therapy. Left lower abdominal pain disappeared, but excretory urogram after eight months showed no changes.
这是日本第五例盆腔脂肪增多症的报告。一名52岁男性于1988年8月28日因左下腹部疼痛前来我院就诊。当时，体格检查除轻度肥胖外无异常。排泄性尿路造影和逆行肾盂造影显示左肾输尿管积水，左输尿管下段变细。尿道膀胱造影显示后尿道延长，膀胱向前移位并抬高。计算机断层扫描显示盆腔间隙弥漫性脂肪组织增多，膀胱畸形，直肠受压。盆腔动脉造影未显示新生血管。诊断为盆腔脂肪增多症。他通过饮食疗法体重减轻了6公斤。左下腹部疼痛消失，但八个月后的排泄性尿路造影显示无变化。
