Pelvic lipomatosis- a bladder preserving approach – a case report

Pelvic lipomatosis is a rare condition of unknown cause characterized by diffuse exuberant pelvic overgrowth of non-malignant but infiltrative adipose tissue in the perivesical and perirectal space[1], first reported in 1959 by Engles[2]. Around 70% of patients are found to be associated with proliferative cystitis, such as cystitis cystica and cystitis glandularis[1,3]. CT scans are found to be the most competent and crucial imaging[4]. A pear–shaped bladder is a distinctive feature on CT urogram in pelvic lipomatosis[5]. The various treatment options available are long–term antibiotics, transurethral resection of the lesions, cystectomy and urinary diversion[6]. The present report describes a case of 45–year–old male patient with pelvic lipomatosis presented with voiding symptoms, persistent pelvic pain and poor quality of life. A bladder–sparing excision of the pelvic lipomatosis mass was performed, thereby avoiding the need for urinary diversion.