title: Large paravaginal pelvic lipoma. A case report.
abstract: BACKGROUND
  Pelvic lipoma is an extremely rare problem. Current imaging techniques are very helpful in diagnosis and assessment.
  
  
  METHODS
  A 36-year-old woman, gravida 2, para 3, presented with pelvic pressure and a bulging perineum on the left side. Pelvic examination revealed an 8 x 10-cm, soft mass filling the left hemipelvis. Pelvic ultrasound and computed tomography delineated the mass and suggested a fatty tumor without invasion of surrounding structures. Via laparotomy, a 400-g lipoma was removed from the left paravaginal/ paravesical/pararectal space. The patient had an uneventful recovery.
  
  
  CONCLUSIONS
  Pelvic lipoma should be considered in the differential diagnosis of a soft, solid tumor filling the lateral pelvis. Ultrasonography and computed tomography are very helpful in assessing the nature of the mass. Removal can be done with a transperineal approach.
authors.affiliation: Department of Obstetrics and Gynecology, Ohio State University Medical Center, Columbus 43210, USA. wbhull@aol.com
authors.forename: W B
authors.initials: WB
authors.lastname: Hull
authors.forename: M L
authors.initials: ML
authors.lastname: Blumenfeld
authors.forename: D
authors.initials: D
authors.lastname: Jacques
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008067:Lipoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D010386:Pelvic Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography