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Case Reports: Unusual presentation of more common disease/injury
Simultaneous excision of pelvic lipoma and robot-assisted radical prostatectomy
  1. Sabina Dranova1,
  2. Danny Darlington Carbin2,
  3. Matthew Perry2 and
  4. Wissam Abou Chedid2
  1. 1Royal Surrey NHS Foundation Trust, Guildford, UK
  2. 2Urology, Royal Surrey NHS Foundation Trust, Guildford, UK
  1. Correspondence to Dr Sabina Dranova; neosabina{at}inbox.lv

Abstract

Lipoma is a benign mesenchymal tumour that can develop in any part of the body containing adipose tissue. Very few cases of pelvic lipomas have been reported in the literature. Due to their location and slow growth, pelvic lipomas are often asymptomatic for a prolonged time. Thus, on diagnosis, they are usually found to be of considerable size. Due to their size, pelvic lipomas can present causing bladder outlet obstruction, lymphoedema, abdominal and pelvic pain, and constipation, as well as present with deep vein thrombosis (DVT) like symptoms. Patients with cancer have a much higher risk of developing DVT. Here, we describe a case of an incidental finding of pelvic lipoma mimicking DVT in a patient with organ-confined prostate cancer. He eventually underwent simultaneous robot-assisted radical prostatectomy and lipoma excision.

  • Urology
  • Prostate
  • Hematuria
  • Urological surgery
  • Surgery

https://doi.org/10.1136/bcr-2023-254813

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    Footnotes

    • Twitter @matthewjaperry

    • Contributors SD: literature search, article writing. DDC: managed the case, article writing. MP: identified and managed the case, critically reviewed the article. WAC: identified and managed the case, critically reviewed the article.

    • 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.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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

    • © BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.