Zong Dapeng, Xu Xin, Yan Kai, Xu Nianbiao, Jiang Xingkang, Xu Guoping, Ma Baojie
Department of Urology Huai'an Cancer Hospital Huai'an Jiangsu China.
Department of Urology Tianjin Medical University Second Hospital Tianjin China.
IJU Case Rep. 2024 Feb 1;7(2):181-184. doi: 10.1002/iju5.12698. eCollection 2024 Mar.
Pelvic lipomatosis is a rare benign disease characterized by urethral elongation, bladder deformity, and/or hydronephrosis. Conservative management is not effective, and urinary diversion is the most effective treatment option but is usually unacceptable for relatively young patients. Ureteral reimplantation seemed to be an appropriate modality under these conditions. We present one case in which pelvic lipomatosis was managed with ureteral reimplantation.
A 45-year-old, previously healthy man presented with right flank pain. Pelvic CT and CT urography showed excessive pelvic fat, bilateral hydronephrosis, tortuous ureters, and a pear-shaped bladder, all of which indicated a diagnosis of pelvic lipomatosis. We performed laparoscopic bilateral urinary tract infection on this patient. At follow-up, bilateral hydronephrosis and flank pain were greatly relieved.
Pelvic lipomatosis can be managed safely and effectively by urinary tract infection, but longer follow-up periods are needed to evaluate the long-term efficacy of this approach.
盆腔脂肪增多症是一种罕见的良性疾病，其特征为尿道延长、膀胱畸形和/或肾积水。保守治疗无效，尿流改道是最有效的治疗选择，但对于相对年轻的患者通常难以接受。在这种情况下，输尿管再植术似乎是一种合适的治疗方式。我们报告一例通过输尿管再植术治疗盆腔脂肪增多症的病例。
一名45岁、既往健康的男性因右侧腰痛就诊。盆腔CT和CT尿路造影显示盆腔脂肪过多、双侧肾积水、输尿管迂曲以及梨形膀胱，所有这些均提示盆腔脂肪增多症的诊断。我们对该患者实施了腹腔镜双侧尿路手术。随访时，双侧肾积水和腰痛明显缓解。
通过尿路手术可安全有效地治疗盆腔脂肪增多症，但需要更长的随访期来评估该方法的长期疗效。
