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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}


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

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  • 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.

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