Chyluria: is retrograde pyelogram mandatory prior to endoscopic sclerotherapy?

BMJ Case Rep. 2014 Jan 6:2014:bcr2013200550. doi: 10.1136/bcr-2013-200550.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Chyle*
  • Fistula / diagnostic imaging*
  • Fistula / therapy*
  • Fistula / urine
  • Follow-Up Studies
  • Humans
  • Lymphatic Diseases / diagnostic imaging*
  • Lymphatic Diseases / therapy*
  • Lymphatic Diseases / urine
  • Male
  • Middle Aged
  • Sclerotherapy*
  • Ureter / abnormalities
  • Ureter / diagnostic imaging
  • Ureteral Diseases / diagnostic imaging*
  • Ureteral Diseases / therapy*
  • Ureteral Diseases / urine
  • Urinary Fistula / diagnostic imaging*
  • Urinary Fistula / therapy*
  • Urinary Fistula / urine
  • Urography*