The Radiology Corner

Farman, Jack; Faegenburg, David; Dallemand, Serge; Keohane, Mary F.; Marshak, Richard H.; Lindner, Arthur E.
December 1973
American Journal of Gastroenterology;Dec1973, Vol. 60 Issue 6, p640
Academic Journal
Pelvic lipomatosis is an uncommon condition in which fat and varying amounts of fibrous tissue proliferate in the pelvis. When sufficiently marked, this produces compression deformities of the rectum, sigmoid colon, small bowel, bladder and ureters. The common roentgen timings of pelvic lipomatosis are: 1. Homogeneous or streaky pelvic lucency. 2. Vertical elongation and narrowing of the rectum. 3. Elevation of the rectosigmoid and sigmoid portions of the colon. 4. Elevation of the small intestine. 5. Increase in the retrorectal space. 6. Vertical elongation of the bladder. 7. Medial or lateral displacement of the lower ureters, frequently associated with slight ureteral dilatation. 8. Rarely, severe ureteral obstruction. These findings are sufficiently characteristic to allow a correct diagnosis in most instances and surgery should he resorted to only for the occasional case with urinary tract obstruction.


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