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CASE REPORT
Chyluria: is retrograde pyelogram mandatory prior to endoscopic sclerotherapy?
  1. Sagorika Paul,
  2. Manoj Kumar,
  3. Viswajeet Singh,
  4. 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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