Pelvic lipomatosis

Case contributed by Dr Mostafa El-Feky

Presentation

Assessment of liver disease.

Patient Data

Age: 65 years
Gender: Male

CT abdomen with contrast

CT

Marked pelvic lipomatosis with displacement of the urinary bladder anteriorly, stretched rectum and sigmoid as well as displacement of bowel loops peripherally.

Also noted: liver cirrhosis, bilateral renal cysts, bilateral hydrocele, splenectomy and gall bladder stone disease.

Case Discussion

Pelvic lipomatosis represents excessive deposition of fat in pelvis leading to compression of pelvic organs. Patients usually present with dysuria, urgency, urinary incontinence, constipation and can be asymptomatic. Imaging features include inverted teardrop-shaped bladder (pear-shaped bladder), elongated rectum that is symmetrically compressed and peripheral displacement of bowel loops.

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