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BMJ Case Reports 2014; doi:10.1136/bcr-2013-200550
  • CASE REPORT

Chyluria: is retrograde pyelogram mandatory prior to endoscopic sclerotherapy?

  1. Satyanarayan Sankhwar
  1. Department of Urology, King George Medical University Lucknow, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Sagorika Paul, dr_sagorika1612{at}rediffmail.com

Summary

Chyluria is the passage of milky urine due to a lymphourinary fistula secondary to lymphatic stasis caused by obstruction of the lymphatic flow. This can be caused by parasitic or non-parasitic infections. Though chyluria is a commonly encountered entity in clinical practice particularly in developing countries like India, it is rarely discussed in English literature. We report a case of chyluria with right bifid ureter in a 50-year-old male patient who was treated with intrarenal pelvic instillation of 1% silver nitrate (AgNO3) and emphasis on the diagnostic implication of retrograde pyelography prior to endoscopic sclerotherapy in managing chyluria particularly in renal anomalies.

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