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Pelvic Lipomatosis

  • Abnormal amount of fatty tissue in the pelvis compressing normal structures. Unrelated to obesity or race
  • Features:
    • Elongation and narrowing of urinary bladder (pear shape)
    • Elongation and narrowing of rectosigmoid
    • Large amount of fat in the pelvis

Teardrop or Pear-Shaped Bladder

  • Results from circumferential extrinsic compression
  • Physiological: Normal Variant, IIIiopsoas hypertrophy
  • Fluid: Hematoma (usually from pelvic fracture), abscess
  • Masses: Pelvic lymphoma, Pelvic lipomatosis, Retroperitoneal fibrosis
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