Pelvic lipomatosis presenting as uraemic encephalopathy.
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.
Sharma
S
S
Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India.
Nabi
G
G
Seth
A
A
Thulkar
S
S
Ghai
S
S
D000328:Adult; D001706:Biopsy; D002908:Chronic Disease; D004829:Epilepsy, Generalized / Q000209:etiology*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000000981:diagnostic imaging / Q000209:etiology*; D008068:Lipomatosis / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D014057:Tomography, X-Ray Computed / Q000379:methods; D014511:Uremia / Q000209:etiology*; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000209:etiology; D001745:Urinary Bladder Diseases / Q000150:complications* / Q000000981:diagnostic imaging