Diagnostic accuracy of CT imaging parameters in pelvic lipomatosis

Bai, Xin; Zhang, Gumuyang; Xu, Lili; Zhang, Xiaoxiao; Zhang, Xuebin; Jin, Zhengyu; Sun, Hansong

doi:10.1007/s00261-020-02946-0

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…A total of 42 studies, 1 – 3 , 7 – 45 including 231 patients with PL were finally included in this systemic review. The detailed literature search process is illustrated in Figure 1 .…”

Section: Resultsmentioning

confidence: 99%

Surgical treatment of pelvic lipomatosis: a systematic review of 231 cases

Xia,

Xiong,

et al. 2023

Therapeutic Advances in Urology

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Background: Pelvic lipomatosis (PL) is a rare condition that is characterized by excessive growth of fat in the pelvic cavity. Studies have yet to systematically review surgical treatments for PL. Objectives: To provide a reference for selecting reasonable surgical treatments for PL patients according to previous literature on the surgical treatment of PL. Design and methods: We conducted this systematic review in accordance with the Preferred Reporting Items for a Systematic Review and Meta-Analysis (PRISMA) of Individual Participant Data guidelines. Literature on PL published from 1968 to 2022 was retrieved from the PubMed and EMBASE databases. Data were collected and analyzed independently by two independent investigators. Results: A total of 42 studies, involving 231 patients with PL, were included in the analysis. The surgical treatments included transurethral resection (TUR) (48.5%), ureteral stent placement (11.7%), percutaneous nephrostomy (1.3%), ureterocutaneostomy (1.3%), ureteral reimplantation (10.4%), ileal conduit (13%), and allograft kidney transplantation (0.4%). After excluding patients with unclear prognoses, 42.9% of patients showed improvement in lower urinary tract symptoms (LUTS) after TUR. Ureteral stent placement provided relief of hydronephrosis in 62.5% of PL patients. Percutaneous nephrostomy resulted in stable renal function in 33.3% of PL patients, while ureterocutaneostomy led to remission of postoperative hydronephrosis in 33.3% of PL patients. After ureteral reimplantation, 70.8% of patients experienced relief of hydronephrosis or had stable renal function. Ileal conduit led to remission of hydronephrosis, alleviation of symptoms, or maintenance of stable renal function in 83.3% of PL patients. One patient with PL had stable renal function after allograft renal transplantation. Conclusion: The surgical treatments for PL include TUR, ureteral stent placement, urinary diversion, and allograft renal transplantation. However, the choice of surgical method should be determined after comprehensive consideration of the patient’s condition.

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“…A total of 42 studies, 1 – 3 , 7 – 45 including 231 patients with PL were finally included in this systemic review. The detailed literature search process is illustrated in Figure 1 .…”

Section: Resultsmentioning

confidence: 99%

Surgical treatment of pelvic lipomatosis: a systematic review of 231 cases

Xia,

Xiong,

et al. 2023

Therapeutic Advances in Urology

View full text Add to dashboard Cite

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Constructing different machine learning models for identifying pelvic lipomatosis based on AI-assisted CT image feature recognition

Wang,

Zhang,

et al. 2024

Abdom Radiol

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Pelvic lipomatosis associated with bilateral obstructive uropathy and proliferative cystitis

2021

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Pelvic lipomatosis is a rare benign entity characterised by excessive deposition of adipose tissue in the perirectal and perivesical spaces. We describe a 43-year-old man with bilateral distal ureteral obstruction secondary to pelvic lipomatosis with concomitant proliferative cystitis resulting in severe hydronephrosis. We performed urinary diversion with percutaneous nephrostomy tube insertion to prevent further renal impairment. The patient was advised close follow-up to monitor the increased risk of bladder adenocarcinoma transformation observed in patients with cystitis glandularis. This report, compliant with the CARE (CAse REport) guidelines for clinical case reporting, presents another case of pelvic lipomatosis associated with acute kidney failure, bilateral hydronephrosis and proliferative cystitis without urodynamic evidence of bladder outlet obstruction that may serve to guide urologists in managing patients with a similar profile.

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Diagnostic accuracy of CT imaging parameters in pelvic lipomatosis

Cited by 3 publications

References 15 publications

Surgical treatment of pelvic lipomatosis: a systematic review of 231 cases

Surgical treatment of pelvic lipomatosis: a systematic review of 231 cases

Constructing different machine learning models for identifying pelvic lipomatosis based on AI-assisted CT image feature recognition

Pelvic lipomatosis associated with bilateral obstructive uropathy and proliferative cystitis

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