Pear-shaped urinary bladder and pelvic lipomatosis on CT

Case contributed by Dr Mohamed Hossam el Deen

Presentation

Follow up post renal transplant.

Patient Data

Age: 50
Gender: Male

CT abdomen with IV and oral contrast shows marked fat deposition in both pelvic and abdominal cavities, also there is some sort of stretching effect on mesenteric blood vessels, urinary bladder, loops of intestine, this effect has resulted in peripheral displacement of the intestinal loops, bear shaped urinary bladder, rectal stretch resemble proctitis (no history of pelvic radiotherapy).

There is also:

  • lipoma seen positioned between the right external and internal oblique muscles
  • bilateral renal atrophy and functioning left side pelvic renal transplant
  • gallbladder wall cholesterol deposits near its neck
  • atrophic changes in the pancreas as well as fat deposition paraspinal and pelvic muscles
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Case Information

rID: 44055
Case created: 5th Apr 2016
Last edited: 5th Apr 2016
Inclusion in quiz mode: Excluded

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