Background: Chyluria is a medical condition with presence of chyle in the urine. The disease is most prevalent in endemic regions of Africa and the Indian subcontinent where it is mostly caused by parasitic infections, particularly lymphatic filariasis due to wucheria bancrofti. Non-parasitic chyluria, however, is a very rare finding.
Case Presentation: We report the case of a 48 year old woman who developed a lymphorenal fistula with chyluria following ureterrenoscopy with biopsies taken for urological work-up of persistent macrohematuria. Renal biopsy confirmed the diagnosis of benign familial hematuria due to thin basement nephropathy, a condition frequently associated with episodes of macrohematuria.
Conclusions: This case highlights a rare case of non-parasitic chyluria as a complication of urological work-up for macrohematuria of benign nature.
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http://dx.doi.org/10.1186/1471-2369-13-7 | DOI Listing |
Urol Case Rep
May 2024
Department of Urology, AOUI Borgo Trento Hospital, Verona, Italy.
Chyluria, an abnormal lymphatic disorder, results in excessive abdominal lymph drainage into the urinary system, causing protein loss, nutritional deficiencies, and immune issues. Mainly linked to parasitic infections in developed countries, non-parasitic causes like trauma or tumors are rare. Typically appearing in adults with bilateral involvement, management options include conservative or surgical approaches.
View Article and Find Full Text PDFTransl Androl Urol
October 2023
Department of Urology, Xiangya Hospital, Central South University, Changsha, China.
Background: Chyluria is a rare disease in which chylous is excreted in the urine. Currently, management of chyluria includes conservative treatments and surgical measures. This study aimed to report our experience in treating non-parasitic chyluria with retroperitoneal laparoscopic ligation of the renal lymphatic vessels.
View Article and Find Full Text PDFInsights Imaging
July 2023
Department of Radiology, Saint-Antoine Hospital, Assistance Publique - Hôpitaux de Paris (APHP) and Sorbonne University, 184 Rue du Faubourg Saint-Antoine, 75012, Paris, France.
Chyluria is an uncommon medical condition resulting from an abnormal communication between the abdominal lymphatic system and the urinary tract, which results in the presence of chyle in the urine, making it appear milky white. Proper diagnosis is demonstrated by the concentration of urinary lipids. Worldwide, chyluria is most commonly associated with the parasite Wuchereria bancrofti.
View Article and Find Full Text PDFInt Med Case Rep J
March 2022
Department of Microbiology, Dr. Ram Manohar Lohia Institute of Medical Sciences Lucknow, Lucknow, UP, India.
Background: Lymphatic filariasis leading to the passage of white urine or chyle is a rare manifestation in children. Filarial parasite infiltration leading to abnormal lymphatic-urinary communication occurs with prolonged infection. The incubation period ranges from 5 to 20 yrs.
View Article and Find Full Text PDFCureus
August 2021
Radiology, University Medical Centre Maribor, Maribor, SVN.
Chyluria is defined by the presence of chyle in urine, and is caused by a communication between the lymphatic and urinary system. Commonly, it is characterised by the excretion of milky white urine, which is present in up to 70% of chyluria cases. The prevalent cause for chyluria in Asia is filariasis with Non-parasitic chyluria is more common in western countries and is usually subsequent to traumatic factors, infections, or tumours.
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