Related Experiment Video
Updated: Jun 28, 2026
Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
Published on: March 28, 2025
Successful laparoscopic management of unilateral chyluria in a 5 year old
K Senthil Ganesh1, S Rao, A J D'Cruz
1Division of Pediatric Surgery, Narayana Hrudayalaya Children's Hospital, No.258/A, Bommasandra Industric Area, Anekal Taluk, Bangalore 560 099, India.
Insights
Chyluria, the abnormal passage of chyle in urine, can be successfully treated in children. Laparoscopic lymphorenal disconnection effectively managed a pediatric case resistant to conservative therapies.
Area of Science:
- Urology
- Pediatric Surgery
- Tropical Medicine
Background:
- Chyluria is the abnormal presence of chyle in urine, typically affecting adults and often caused by Wuchereria bancrofti.
- While common causes include parasitic infections, trauma, tumors, tuberculosis, and congenital issues, pediatric cases are less frequent.
- Unilateral chyluria in children can present as a long-standing, symptomatic, and treatment-resistant condition.
Purpose of the Study:
- To report the successful management of a pediatric patient with unilateral chyluria.
- To evaluate the efficacy of laparoscopic lymphorenal disconnection in a child with resistant chyluria.
- To review the literature on chyluria management in pediatric populations.
Main Methods:
- A case study of a 5-year-old child with symptomatic unilateral chyluria.
- Conservative treatment modalities were attempted and failed.
- Laparoscopic lymphorenal disconnection was performed to address the condition.
Main Results:
- The laparoscopic lymphorenal disconnection resulted in an excellent outcome for the patient.
- The child experienced resolution of symptoms following the surgical intervention.
- This case highlights a viable surgical option for pediatric chyluria.
Conclusions:
- Laparoscopic lymphorenal disconnection is an effective treatment for pediatric chyluria resistant to conservative management.
- Early surgical intervention may be considered for persistent symptomatic cases in children.
- Further research into pediatric chyluria is warranted to optimize treatment strategies.
Abstract:
Chyluria is defined as abnormal passage of chyle in the urine. It is usually seen in adults and is bilateral. The commonest cause is infestation with Wuchereria bancrofti. Other causes include trauma, tumours, tuberculosis and congenital malformations. This report describes the successful management of a 5-year-old child with long-standing, resistant and symptomatic unilateral chyluria. Failure of conservative treatment led to use of laparoscopic techniques to perform a lymphorenal disconnection with excellent outcome. Relevant literature is reviewed.
