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[Lymphatic malformation and chyluria: presentation of a treated case without relapse]
R Esquirol Mallol1, M Servelle, L Turpyn
1Clínica Esquirol, Barcelona.
Medicina Clinica
|November 2, 1991
Summary
Chyluria, a condition causing milky urine due to lymphatic vessel abnormalities, was successfully treated in a young patient. Surgical ligation of affected lymphatic vessels resolved the persistent symptoms, offering a potential therapeutic approach.
Area of Science:
- Nephrology
- Gastroenterology
- Vascular Surgery
Background:
- Chyluria presents as milky urine, indicating protein, lipid, cholesterol, and triglyceride leakage into the renal pelvis.
- It is often associated with malformed intestinal lymphatic vessels and hypoplasia of Pecquet's cistern.
Observation:
- A 22-year-old patient with persistent chyluria since age 16 underwent testing.
- Induced hyperlipidemia confirmed an underlying intestinal lymphatic malformation.
Findings:
- Diagnostic lymphography and pyelography visualized the lymphatic abnormalities.
- Surgical ligation of the left kidney's lymphatic vessels was performed.
Implications:
- The successful surgical intervention led to complete remission of chyluria.
- This case highlights surgical ligation as an effective treatment for chyluria secondary to lymphatic malformations.