Pelvic lipomatosis and renal transplantation:A case report  

作　　者：Jie Zhao Ying-Xin Fu Gang Feng Chun-Bai Mo 

机构地区：[1]Department of Kidney Transplant,Tianjin First Central Hospital,Tianjin 300192,China

出　　处：《World Journal of Clinical Cases》2020年第16期3548-3552,共5页世界临床病例杂志

基　　金：Supported by National Natural Science Foundation of China,No.81970654。

摘　　要：BACKGROUND Pelvic lipomatosis is a rare disease of unknown etiology,characterized by the overgrowth of pelvic adipose tissue that causes compression of the urinary tract including the bladder and ureters,rectum and blood vessels.The patient may progressively develop obstructive uropathy which could subsequently lead to renal failure.At present,there are no reports of renal transplantation due to uremia caused by pelvic lipomatosis.The ideal management of patients with pelvic lipomatosis after renal transplantation is not yet well-established due to the lack of literature and follow-up data.CASE SUMMARY We report a 37-year-old male patient with pelvic lipomatosis who received a successful living donor renal transplantation on July 22,2015.The operation was complicated as the iliac vessels and bladder were wrapped entirely in excessive abnormal fat.The external iliac artery and vein were located using ultrasonographic guidance.The adipose tissue around the right bladder was removed as far as possible,and the graft ureter was reimplanted into the bladder,using the Lich-Gregoir technique.At 22 mo after transplantation,graft percutaneous nephrostomy was performed under ultrasonographic guidance for urinary diversion due to hydronephrosis of the graft kidney.Follow-up at four years showed that the renal allograft function was stable.CONCLUSION When patients with pelvic lipomatosis develop renal failure,renal transplantation could be a feasible treatment strategy.

关 键 词：Pelvic lipomatosis Kidney transplantation UREMIA HYDRONEPHROSIS BLADDER Urinary obstruction Case report 

分 类 号：R730.5[医药卫生—肿瘤] R699.2[医药卫生—临床医学]