Pelvic Lipoma in a Case of Stage-II Cervical Carcinoma - A Case Report

Retroperitoneal pelvic lipomas are so rare that there are only few cases reported in literature. Current imaging techniques such as USG, CT & MRI are helpful in diagnosis. A case of pelvic lipoma in a patient with stage-II cervical carcinoma is described. Initial ultrasound showed an irregular mass in the cervix with suggestion of an echogenic lesion in left side of pelvis. Plain and contrast enhanced CT showed a homogenous fat attenuation mass in the left side of pelvis with a faintly visible capsule which did not enhance post contrast. MRI permitted unequivocal diagnosis of lipoma. The usefulness of various imaging methods is discussed in correctly diagnosing the entity and avoiding unnecessary surgery in asymptomatic patient.