Klein F A, Smith M J, Kasenetz I
Department of Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond.
J Urol. 1988 May;139(5):998-1001. doi: 10.1016/s0022-5347(17)42744-3.
From 1950 through 1985, 18 patients 26 to 65 years old (mean age 44.5 years) presented with pelvic lipomatosis. Followup ranged from 6 months to 17 years, with a mean of 7.5 years. Of these 18 patients 16 (89 per cent) are alive, 1 (6 per cent) died of uremia and 1 (6 per cent) was lost to followup after 6 months. During this period 7 patients (39 per cent) required operative procedures for urinary obstruction. Although pelvic lipomatosis is a benign proliferation of fat in the true pelvis that is known to lead to urinary tract, fecal and even vena caval obstruction, it also may remain dormant and cause no significant symptoms for many years.
从1950年到1985年,18例年龄在26至65岁(平均年龄44.5岁)的患者出现盆腔脂肪增多症。随访时间从6个月至17年不等,平均为7.5年。这18例患者中,16例(89%)存活,1例(6%)死于尿毒症,1例(6%)在6个月后失访。在此期间,7例患者(39%)因尿路梗阻需要接受手术治疗。虽然盆腔脂肪增多症是真骨盆内脂肪的良性增生,已知可导致尿路、粪便甚至腔静脉梗阻,但它也可能多年保持静止且不引起明显症状。