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