A Case Report of Pelvic Lipomatosis with Severe Rectal Stenosis

Katsuhiro Tanaka, Toshikatsu Taniki, Shunsuke Niki, Taizou Fukumoto, Daisaku Harauchi, Hiroshi Tabuchi, Masayuki Sumitomo, Nobuo Saoyama, Kunihiko Harada, Yasushi Shimoe¹⁾, Minoru Irahara²⁾, Yasumasa Monden

The Seocnd Department of Surgery, Tokushima University School of Medicine
¹⁾Department of Cardiovascular Surgery, Tokushima University School of Medicine
²⁾Department of Gynecology, Tokushima University School of Medicine

A 32 year-old woman was admitted to our hospital with a complaint of constipation. Colonoscopy and barium enema examination showed a nearly l0 cm longstenosis of the Ra, Rs 10 cm proximal to the anal verge. The mucosa of the rectum was intact and histologically normal. Computed tomography (CT) showed 2 cm wide, low density area around the rectum. During an operation the rectum, the uterus and the overies were found to be tightly adhesive. Especially around the rectum, a 3 cm wide mass existed. Pathological examination showed the mass around the recutm was encapsulated normal fatty tissue without malignancy, and with little fibrous or inflammation. We diagnosed it as pelvic lipomatosis.

Key words
pelvic lipomatosis with benign rectal stenosis

Reprint requests
Katsuhiro Tanaka Anan Ishikai Chuuou Hospital
2 Kawahara, Takarada-machi, Anan, 774 JAPAN

Accepted
December 13, 1989

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