CAJ | 학술논문

回顾性分析1例经手术、病理证实，2例因无症状经影像检查诊断的盆腔脂肪增多症患者的临床及影像表现。3例均行CT检查，手术病例行磁共振尿路成像检查，2例行超声检查。影像示膀胱均受压变形，位置上移，冠状位呈倒置的泪滴形或梨形，矢状位呈香蕉形；双侧输尿管均受压向内移位，1例双侧输尿管扩张，双肾盂积水；直肠、乙状结肠均受压变细、变直。临床表现为尿频、尿急、尿痛及排尿困难，便秘、恶心、呕吐并伴有发热等。
회고성분석1례경수술、병리증실，2례인무증상경영상검사진단적분강지방증다증환자적림상급영상표현。3례균행CT검사，수술병례행자공진뇨로성상검사，2례행초성검사。영상시방광균수압변형，위치상이，관상위정도치적루적형혹리형，시상위정향초형；쌍측수뇨관균수압향내이위，1례쌍측수뇨관확장，쌍신우적수；직장、을상결장균수압변세、변직。림상표현위뇨빈、뇨급、뇨통급배뇨곤난，편비、악심、구토병반유발열등。
The imaging findings of pelvic lipomatosis as confirmed by operation and pathology were examined in 1 case and two follow-up asymptomatic cases retrospectively analyzed.The imaging findings included a compressed and deformed bladder with a superior displacement.Its shape was like an inverted tear and pear in coronal view and a banana in sagittal view.Bilateral ureters were both compressed with a medial deviation.And bilateral ureters were dilated with hydronephrosis in 1 case.Rectum and sigmoid were both compressed and became narrowed.The clinical manifestations included frequent urination , urgent urination , urination pain, dysuria, constipation, nausea, vomit and fever in 1 case while another 2 cases stayed asymptomatic.