Susmano D E, Dolin E H
Urology. 1979 Feb;13(2):215-20. doi: 10.1016/0090-4295(79)90305-4.
Pelvic lipomatosis is a disease characterized by abnormal deposition of mature adipose tissue within the confines of the pelvis surrounding the bladder, prostate, and rectosigmoid. The presenting symptoms are vague and nonspecific, and it has typical radiologic features. Computed tomography is extremely useful in the differential diagnosis because of its ability to differentiate fatty infiltration from other conditions which can cause elevation and compression of the urinary bladder and sigmoid colon. Computed tomographic confirmation of the presence of fat surrounding the bladder and rectum eliminates the need for surgical biopsy, unless indicated for other reasons. The course of this disease is usually benign and indolent, however a close follow-up is mandatory to rule out those cases in which ureteral obstruction may develop requiring surgical relief of the obstruction. When cystitis glandularis is found in association with pelvic lipomatosis, periodic cystoscopic examinations are recommended because of the potential risk of malignant transformation.
盆腔脂肪增多症是一种以成熟脂肪组织在膀胱、前列腺和直肠乙状结肠周围的盆腔范围内异常沉积为特征的疾病。其临床表现模糊且不具特异性，具有典型的放射学特征。计算机断层扫描因其能够区分脂肪浸润与其他可导致膀胱和乙状结肠抬高及受压的疾病，在鉴别诊断中极为有用。计算机断层扫描确认膀胱和直肠周围存在脂肪可避免手术活检，除非因其他原因有必要进行活检。该疾病的病程通常为良性且进展缓慢，但必须密切随访以排除可能出现输尿管梗阻而需要手术解除梗阻的病例。当腺性膀胱炎与盆腔脂肪增多症相关联时，由于存在恶变风险，建议定期进行膀胱镜检查。
