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[Recurrent nonparasitic chyluria]

C Núñez Mora1, P Cárcamo Valor, M de Cabo Ripoll

  • 1Servicio de Urología, Hospital Universitario La Paz, Universidad Autónoma de Madrid.

Archivos Espanoles De Urologia
|January 15, 1999
PubMed
Summary

Recurrent chyluria, a rare condition, can be diagnosed via postprandial cystoscopy. This case highlights pyelolymphatic reflux and successful treatment with chemical pyelitis, suggesting conservative management is preferred over surgery.

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Area of Science:

  • Urology
  • Nephrology
  • Medical Case Reports

Background:

  • Chyluria, characterized by lymphatic fluid in urine, is an uncommon condition, often presenting as recurrent episodes.
  • Understanding the pathophysiology of chyluria is crucial for effective diagnosis and management.

Observation:

  • A case of non-parasitic recurrent chyluria was observed.
  • Retrograde pyelography revealed pyelolymphatic reflux, indicating abnormal communication between the renal pelvis and lymphatic system.

Findings:

  • The patient experienced chemical pyelitis due to the contrast medium used during pyelography.
  • This chemical pyelitis unexpectedly led to the remission of the chyluria.

Implications:

  • Postprandial cystoscopy is a valuable diagnostic tool for identifying the affected renoureteral unit in chyluria.

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  • Conservative management, such as pyelic instillation of sclerosing agents, should be considered before surgical intervention.
  • This case suggests that chemical pyelitis can be an effective, albeit incidental, treatment for recurrent chyluria.