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RESIDENT’S CORNER

Bilateral hydronephrosis and acute kidney injury secondary to pelvis lipomatosis

Wesley Baas, Blake O’Connor, Ahmed El-Zawahry

Division of Urology, Southern Illinois University School of Medicine, Springfield, Illinois, USA
Address correspondence to Dr. Wesley Baas, SIU Medicine – Division of Urology, PO Box 19665, Springfield IL 62794- 9665 USA

Canadian Journal of Urology 2018, 25(1), 9217-9219.

Abstract

A 57-year-old African American male presented with vague abdominal pain and bilateral flank pain. The patient was found to have bilateral hydronephrosis and significant renal function impairment secondary to pelvic lipomatosis. Pelvic lipomatosis represents a clinically-diagnosed unique cause of ureteral obstruction and subsequent renal impairment. We present a case report of newly diagnosed pelvic lipomatosis, the clinical and imaging characteristics for diagnosis, and its conservative management with serial ureteral stent exchanges.

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