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Max I. Shaff, FRCR

JAMA. 1978;239(18):1895-1896.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

History

A 40-year-old man had a history of backache and recurrent urinary infection. A year previous to this he had been treated for ureteric obstruction. On rectal examination the prostate was not enlarged, but a soft mass was palpable in the pelvis.

Figure 1 is a section of the scout film, and Fig 2 is the bladder area of the 20-minute film of an excretory urogram.

Diagnosis

Pelvic lipomatosis.

Comment

In Fig 1 there is increased radiolucency in the pelvis with good visualization of muscle planes and bony detail, consistent with excessive fatty tissue. Figure 2 shows bilateral and symmetrical compression of the bladder, which is pear-shaped and extends from the pelvis. Deviation and compression of the ureters with partial obstruction is present. The upper tracts were normal.

The differential diagnosis of the pear-shaped bladder includes pelvic hematoma, pelvic edema and collaterals from venous obstruction, enlarged glands secondary to lymphoma . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Radiology, Groote Schuur Hospital, University of Cape Town, Observatory, Cape Town 7925, South Africa.

Footnotes
Reprint requests to Department of Radiology, Groote Schuur Hospital, University of Cape Town, Observatory, Cape Town 7925, South Africa (Dr Shaff).

Edited by Z. Danilevicius, MD, Senior Editor.

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