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ABSTRACT

Pelvic lipomatosis is defined as a condition characterized by the diffuse proliferation of normal mature fatty tissue in the perirectal and perivesical region. We report a case of a 40-year-old, obese male who presented with marked lower urinary tract symptoms. Imaging studies and blood tests revealed bilateral hydroureteronephrosis and right non-excretory kidney with deranged renal function. Diagnosis of the pelvic lipomatosis was established on the basis of clinical and radiological findings. The patient was successfully managed by simple cystectomy and ileal conduit. After 6 years of follow-up, the patient is doing well with normal renal parameters.

Sanjay Kumar Gupta, Mahendra Singh, Vijoy Kumar, Rajesh Tiwari, Sanjay K Suman, Atul Khandelwal, Vinod Priyadarshi

Date Received: December 03, 2011 Accepted on: January 04, 2012

KEYWORDS: Pelvic lipomatosis, pear shaped bladder, simple cystectomy, cystitis glandularis

CORRESPONDENCE: Sanjay Kumar Gupta, Department of Urology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India (sanjayssgtamkuhi@yahoo.co.in).

CITATION: UroToday Int J. 2012 Apr;5(2):art 4. http://dx.doi.org/10.3834/uij.1944-5784.2012.04.04