Pelvic and Abdominal Lipomatosis ? A Rare Case Report with Atypical Presentations

Pelvic lipomatosis is defined as a condition characterized by the diffuse proliferation of normal mature fatty tissue in the perirectal and perivesical region. We present a rare case of 50 years male, normotensive, normoglycemic and low BMI with progressive LUTS (lower urinary tract symptoms) over the last 10 years and episodes of ureteric colic spontaneously relieved by stone passage. The diagnosis of pelvic lipomatosis was established on the basis of clinical and radiological findings. The patient was managed with bilateral PCN which was changed periodically and patient achieved a nadir creatinine to 2.9 mg/dl from 5.4 mg/dl. Cystoscopy and biopsy were consistent with Cystitis Cystica.