Inguinal bladder hernia with lipomatosis of the bladder wall: A potential clinical pitfall for cancer

Abstract

A 70-year-old man was referred to the Urology Department of United Hospital of Ancona for an irregular thickening of the left anterior-lateral bladder wall found during a computed tomography (CT) scan after episodic gross haematuria. The patient reported no urinary symptoms and had no family history of bladder cancer. The patient's body mass index was 35.86. He was receiving anticoagulant therapy for atrial fibrillation. Physical examination revealed a left inguinal hernia that was gradually increasing in size over the last 6 months.

The role of obesity in patients with renal cell carcinoma

“…Пролиферация жировой ткани в этом месте формирует поражение, называемое липоматозом почечного синуса, которое характеризуется доброкачественной пролиферацией жира и атрофией почечной паренхимы. Часто данная патология ассоциируется с хроническим пиелонефритом, почечным литиазом и гидронефрозом, а также возникает у лиц в возрасте от 60 лет, при ожирении и воздействии стероидов [24,25].…”

The Role of Obesity in Renal Cell Carcinoma Patients: Clinical-Pathological Implications

“…The proliferation of adipose tissue in this compartment configures a lesion called renal sinus lipomatosis, characterized by benign proliferation of fat and atrophy of the renal parenchyma (Figure 2). It is often associated with chronic pyelonephritis, renal lithiasis, and hydronephrosis, and occurs with advanced age, obesity, and exposure to steroids [26,27].…”