盆腔脂肪增多症一例误诊分析

A Misdiagnosed Case of Pelvic Lipomatosis and the Literature Review

目的结合相关文献分析盆腔脂肪增多症的误诊原因,并探讨本病的诊治方法。方法对我院1例误诊为前列腺增生的盆腔脂肪增多症的临床资料进行回顾性分析。结果本例因尿频、进行性排尿困难3年余收入院,诊断为前列腺增生行前列腺电切术,术中发现膀胱颈抬高、膀胱变形,前列腺电切过程中发现脂肪组织。考虑盆腔脂肪增多症,术后行MRI等检查进一步证实诊断。结论临床接诊排尿困难伴有双肾积水病史的患者,应考虑盆腔脂肪增多症的可能。必要时可进一步完善静脉肾盂造影、超声、MRI及CT等检查,以明确诊断,避免误诊误治。

Objective To analyze the cause of misdiagnosis of pelvic lipomatosis combined with related literature in order to explore the treatment of pelvic lipomatosis. Methods Retrospective analysis of the clinical data of 1 ease with pelvic lipomatosis misdiagnosed in our hospital was made. Results The patient was admitted for frequent micturition and progressive dysuria for 3 years and misdiagnosed as prostatic hyperplasia. Bladder neck elevation, deformed bladder and adipose tissue were detected during prostate electrocision. Pelvic lipomatosis was suspected and MRI was performed after operation, which indicated the diagnosis. Conclusion Pelvic lipomatosis should be considered in diagnosing patients with dysuria accompanied with twin hydronephrosis. Medical examinations such as IVP, US, MRI, and CT should be performed in order to prevent misdiagnosis.