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Case of the Week 359




What's the most likely diagnosis?

  • 50 year-old male with frequency



Radiograph from Intravenous Pyelogram (IVP)

  1. Multicystic dysplastic kidneys
  2. Hutch diverticulum
  3. Aortic aneurysm
  4. Retroperitoneal fibrosis
  5. Pelvic Lipomatosis

Additional Image - Radiograph of pelvis and abdomen 7 hours after an upper GI

 

Additional Image

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Radiograph of pelvis and abdomen 7 hours after an upper GI on same day as IVP

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Answer:

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5. Pelvic Lipomatosis

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More (Click Discussion Tab)


Pelvic Lipomatosis

General Considerations

  • Rare disease characterized by an excess deposition of fat in the pelvis surrounding the bladder and rectum
  • Most common in African-Americans (66%) with an overwhelming male predominance (94%)
  • Cause is not known but, it has been linked to obesity
  • Most patients are 20-50 years of age

    More ...


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