Pelvic lipomatosis is a recently reported, rare entity of uncertain clinical significance. Although it is usually an incidental finding from a gastrointestinal or genitourinary evaluation, various symptoms, usually urologic, have been ascribed to its presence. The authors recently encountered three patients with this condition, however, all of whom had complaints that caused them to seek general surgical consultation. the first patient presented with abdominal pain associated with a pelvic mass; the second developed lower extremity thrombophlebitis; and the third had bowel obstruction from colonic cancer obscured by the pelvic lipomatosis. As it becomes increasingly apparent that this process may be associated with conditions of importance to the general surgeon, an awareness of its presentation, resultant complications, and the possibility of associated disease processes is required. Thorough, systemic evluation of all these patients is necessary, and exploratory laparotomy may be indicated to establish complete diagnosis.
盆腔脂肪增多症是一种最近报道的、临床意义不明的罕见病症。尽管它通常是在胃肠道或泌尿生殖系统评估中偶然发现的，但各种症状，通常是泌尿系统症状，已被归因于其存在。然而，作者最近遇到了三名患有这种疾病的患者，他们都有促使他们寻求普通外科会诊的主诉。第一名患者表现为与盆腔肿块相关的腹痛；第二名患者发生了下肢血栓性静脉炎；第三名患者因盆腔脂肪增多症掩盖了结肠癌而出现肠梗阻。由于越来越明显的是，这个过程可能与普通外科医生所关注的重要病症相关，因此需要了解其表现、由此产生的并发症以及相关疾病过程的可能性。对所有这些患者进行全面、系统的评估是必要的，可能需要进行剖腹探查以确立完整的诊断。
