Pelvic Lipomatosis in a Young Male: A Case Report

Pelvic Lipomatosis (PL) is a rare benign disease of unknown aetiology characterised by intrapelvic overgrowth of mature fatty tissue. Although non malignant, the adipose tissue is infiltrative and causes compression of the pelvic structures-the genito urinary tract, lower gastrointestinal tract or the vascular system leading to a broad range of symptoms. With limited cases of PL reported in the literature there are no clear-cut guidelines for its management and both conservative and surgical modalities have been described with varying results. This report describes a case of PL in a young 34-year-old male which was associated with bilateral hydroureteronephrosis and was well managed conservatively. PL is also known to be associated with complications like hypertension, severe upper tract obstruction, renal failure and rarely pulmonary thromboembolism, portal vein thrombosis and adenocarcinoma bladder, thus commanding early diagnosis of the disease and long-term follow-up in all the patients.