Albalawi Abdulaziz A, Alhassan Abdullatif M, Alanazi Abdullah B, Alghamdi Abdullah M
Urology, Prince Sultan Military Medical City, Riyadh, SAU.
Urology, Security Forces Hospital, Riyadh, SAU.
Cureus. 2023 Jul 17;15(7):e42047. doi: 10.7759/cureus.42047. eCollection 2023 Jul.
Pelvic lipomatosis is a proliferative disease characterised by excessive fat growth in retroperitoneal space leading to inadequate bladder drainage and ureteral compression. Cystitis glandularis, cystitis cystica, or cystitis follicularis can be found in the majority of patients with the disease. We report a case of a 63-year-old man diagnosed outside our hospital with pelvic lipomatosis after finding a pelvic mass behind the bladder causing severe bilateral hydronephrosis. A bladder-sparing excision of the pelvic lipomatosis mass with bilateral ureteric reimplantation was performed, thereby avoiding the need for urinary diversion. Our case supports the hypothesis that pelvic fat mass extirpation and ureteral reimplantation is an effective surgical treatment strategy for pelvic lipomatosis.
盆腔脂肪增多症是一种增殖性疾病，其特征是腹膜后间隙脂肪过度生长，导致膀胱引流不畅和输尿管受压。大多数该疾病患者可发现腺性膀胱炎、囊性膀胱炎或滤泡性膀胱炎。我们报告一例63岁男性患者，在我院外被诊断为盆腔脂肪增多症，原因是在膀胱后方发现盆腔肿物，导致严重双侧肾积水。对盆腔脂肪增多症肿物进行了保留膀胱的切除术并双侧输尿管再植，从而避免了尿流改道的需要。我们的病例支持这样的假说，即盆腔脂肪肿物切除和输尿管再植是治疗盆腔脂肪增多症的一种有效的手术治疗策略。
