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Vol. 84, No. 2, 2010
Issue release date: March 2010
Urol Int 2010;84:239–241

Rare Etiology of Obstructive Uropathy: Pelvic Lipomatosis

Miglani U. · Sinha T. · Gupta S.K. · Doddamani D. · Sethi G.S. · Talwar R. · Agrawal S. · Chandra M. · Rana Y.P.S. · Harkar S.
Department of Urology, Army Hospital (R & R), New Delhi, India

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We present a case of a 32-year-old hypertensive and obese male who had bilateral obstructive uropathy, and who was diagnosed as having pelvic lipomatosis on the basis of clinicoradiological findings. Cystoscopy and biopsy revealed cystitis cystica. He was successfully managed with bilateral extravesical modified Lich-Gregoir ureteric reimplantation by intraperitoneal approach. At 5 months follow-up, the patient had normal serum creatinine and was clinically asymptomatic.

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