Pelvic lipomatosis presenting as uraemic encephalopathy

Int J Clin Pract. 2001 Mar;55(2):149-50.

Abstract

Pelvic lipomatosis is a benign disorder of unknown aetiology, characterised by deposition of mature fat in the pelvis. It has a variable natural history, manifesting either with symptoms attributable to the lower urinary tract or varying degrees of renal failure. Owing to the mild, non-specific initial symptoms and slow progression, presentation is delayed and patients are often lost to follow-up, only to present with advanced renal failure later on. We report a case of a young patient with pelvic lipomatosis who, after an initial diagnosis, was lost to follow-up for several years and then presented with uraemic encephalopathy. The case highlights the importance of regular follow-up and an early intervention before irreversible changes occur.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biopsy
  • Chronic Disease
  • Epilepsy, Generalized / etiology*
  • Humans
  • Kidney Failure, Chronic / diagnostic imaging
  • Kidney Failure, Chronic / etiology*
  • Lipomatosis / complications*
  • Lipomatosis / diagnostic imaging
  • Male
  • Tomography, X-Ray Computed / methods
  • Uremia / etiology*
  • Ureteral Obstruction / diagnostic imaging
  • Ureteral Obstruction / etiology
  • Urinary Bladder Diseases / complications*
  • Urinary Bladder Diseases / diagnostic imaging