Article Text

Download PDFPDF
Pelvic lipomatosis associated with bilateral obstructive uropathy and proliferative cystitis
  1. Joan Marie Salangsang Flor,
  2. Michael John Francis Velarde Gaston and
  3. Marie Carmela Montillero Lapitan
  1. Surgery, Philippine General Hospital, Manila, Philippines
  1. Correspondence to Dr Joan Marie Salangsang Flor; florjoanmarie{at}


Pelvic lipomatosis is a rare benign entity characterised by excessive deposition of adipose tissue in the perirectal and perivesical spaces. We describe a 43-year-old man with bilateral distal ureteral obstruction secondary to pelvic lipomatosis with concomitant proliferative cystitis resulting in severe hydronephrosis. We performed urinary diversion with percutaneous nephrostomy tube insertion to prevent further renal impairment. The patient was advised close follow-up to monitor the increased risk of bladder adenocarcinoma transformation observed in patients with cystitis glandularis. This report, compliant with the CARE (CAse REport) guidelines for clinical case reporting, presents another case of pelvic lipomatosis associated with acute kidney failure, bilateral hydronephrosis and proliferative cystitis without urodynamic evidence of bladder outlet obstruction that may serve to guide urologists in managing patients with a similar profile.

  • urological surgery
  • haematuria

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors Dr JMSF: Planning of paper writing, conducting the operation, reporting the case, conception and design of the paper, acquisition of data or analysis, and interpretation of data. Dr MJFVG: Conception and design of the paper, edited and reviewed the manuscript. Dr MCML: acquisition of data or analysis and interpretation of data, edited and reviewed the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.