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盆腔脂肪增多症——一种罕见的诊断及具有挑战性的治疗：一例病例报告及文献综述

Pelvic lipomatosis-a rare diagnosis and a challenging management: a case report and literature review.

作者信息

Ata Yaser M, Al-Jassim Fatima A, Alabassi Kholoud, Albakr Ahmed, Ismail Taha, Al Jalham Khalid

机构信息

Urology Department, Hamad Medical Corporation, Doha, Qatar.

出版信息

J Surg Case Rep. 2024 Dec 15;2024(12):rjae777. doi: 10.1093/jscr/rjae777. eCollection 2024 Dec.

DOI:10.1093/jscr/rjae777
PMID:39678478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11646686/
Abstract

Pelvic lipomatosis (PL) involves nonmalignant excess fat growth in perirectal and perivesical areas, gaining recognition over three decades. This review addresses its clinicopathological aspects amid controversies, emphasizing the need for a comprehensive examination of current literature. This report outlines a 42-year-old man's diagnostic journey for persistent urological symptoms, ultimately identified as PL. PL, if untreated, adversely impacts the urinary system, affecting kidney function and causing systemic complications. Management involves accurate diagnosis through radiological methods and surgical intervention, aiming to alleviate symptoms and enhance affected individuals' quality of life.

摘要

盆腔脂肪增多症（PL）是指直肠周围和膀胱周围区域出现非恶性的脂肪过度生长，三十多年来一直受到关注。本综述在争议中探讨其临床病理方面，强调需要对当前文献进行全面审视。本报告概述了一名42岁男性因持续泌尿系统症状的诊断过程，最终确诊为PL。PL若不治疗，会对泌尿系统产生不利影响，影响肾功能并引发全身并发症。治疗包括通过放射学方法进行准确诊断以及手术干预，旨在缓解症状并提高患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eec/11646686/713d07e1b61f/rjae777f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eec/11646686/8859d3eaec8f/rjae777f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eec/11646686/e505ef78ab81/rjae777f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eec/11646686/713d07e1b61f/rjae777f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eec/11646686/8859d3eaec8f/rjae777f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eec/11646686/e505ef78ab81/rjae777f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eec/11646686/713d07e1b61f/rjae777f3.jpg

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本文引用的文献

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Modified Ileal Conduit for Pelvic Lipomatosis: Technique Description and Outcome.改良回肠通道术治疗骨盆脂肪过多症：技术描述与结果。
Urol Int. 2024;108(4):314-321. doi: 10.1159/000538369. Epub 2024 Mar 21.
2
Ureteral reimplantation for the management of pelvic lipomatosis.输尿管再植术治疗盆腔脂肪增多症。
IJU Case Rep. 2024 Feb 1;7(2):181-184. doi: 10.1002/iju5.12698. eCollection 2024 Mar.
3
Robotic Management of Pelvic Lipomatosis-Experience with Difficulties Encountered and the Techniques to Successful Outcomes.盆腔脂肪增多症的机器人管理——遇到的困难及成功治疗技术的经验
Eur Urol Open Sci. 2020 Sep 21;21:33-40. doi: 10.1016/j.euros.2020.08.004. eCollection 2020 Oct.
4
Surgical treatment for pelvic lipomatosis using a bladder-sparing technique: A STROBE-compliant study.采用保留膀胱技术治疗盆腔脂肪增多症：一项符合STROBE标准的研究。
Medicine (Baltimore). 2019 Jun;98(26):e16198. doi: 10.1097/MD.0000000000016198.
5
Pelvic Lipomatosis Causing Renal Failure.盆腔脂肪增多症导致肾衰竭。
J Belg Soc Radiol. 2016 Apr 8;100(1):55. doi: 10.5334/jbr-btr.1072.
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Acute urinary retention in a patient with extended cystitis glandularis.腺性膀胱炎扩展患者的急性尿潴留
Cent European J Urol. 2011;64(2):94-6. doi: 10.5173/ceju.2011.02.art11. Epub 2011 Jun 2.
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Pelvic lipomatosis: US and CT diagnosis.盆腔脂肪增多症：超声和CT诊断
Biomed Imaging Interv J. 2012 Apr;8(2):e12. doi: 10.2349/biij.8.2.e12. Epub 2012 Apr 1.
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Rare etiology of obstructive uropathy: pelvic lipomatosis.梗阻性尿路病的罕见病因：盆腔脂肪增多症。
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Sigmoid colon and urinary bladder in high fixation: roentgen changes simulating pelvic tumor.高固定状态下的乙状结肠和膀胱：模拟盆腔肿瘤的X线改变
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