+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Chyluria presenting as milky urine and nephrotic-range proteinuria and milky urine: chyluria or glomerulopathy? Case report and literature review

Chyluria presenting as milky urine and nephrotic-range proteinuria and milky urine: chyluria or glomerulopathy? Case report and literature review

Nephrologie and Therapeutique 5(7): 642-647

A patient is admitted in hospital to explore a nephrotic proteinuria associated with milky urine. This is explained by a chyluria (presence of lymphatic fluid in the urines), which is due to a pyelolymphatic fistula probably linked to a lymphatic filariasis. Usually, the diagnosis of chyluria can be confirmed by the presence of urinary chylomicrons. The presence of an urinary-lymphatic fistula can be proved by different techniques (cystoscopy, retrograde pyelography, uroscanner, lymphoscintigraphy). The main cause of chyluria is parasitic infections (filarial infection, echinococcus, cysticercosis), but other causes can be found, such as granulomatosis, neoplasia, lymphatic malformations, or sequela of surgery or traumatism. Chyluria is one of the causes of post-nephronic nephrotic proteinuria. Depending on the impact of the chyluria for the patient, there will either be no treatment, or a treatment by sclerotherapy or surgery.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 052086195

Download citation: RISBibTeXText

PMID: 19631600

DOI: 10.1016/j.nephro.2009.06.003

Related references

Chyluria presenting as milky urine and nephrotic-range proteinuria. Kidney International 70(8): 1518-1522, 2006

Milky urine: a case of chyluria. Medical Journal of Australia 180(2): 89, 2004

"Milky" urine--a child with chyluria. European Journal of Pediatrics 151(1): 61-62, 1992

Transient 'milky urine' after cardiac catheterization: another unreported cause of non-parasitic chyluria. Nephron 72(2): 367-368, 1996

Transient Milky Urine after Cardiac Catheterization: Another Unreported Cause of Non-Parasitic Chyluria. Nephron 72(2): 367-368, 1996

An occult filarial infection presenting as chyluria with proteinuria: a case report and review of literature. BMJ Case Reports 2012, 2013

A Case of Idiopathic Chyluria with Nephrotic-range Proteinuria and Hypothyroidism. Internal Medicine 2018, 2018

Metanephric adenoma in a five-year-old boy presenting with chyluria: case report and review of literature. Urology 72(3): 545-547, 2008

Filariasis, with chyluria and nephrotic range proteinuria. Journal of the Association of Physicians of India 61(7): 487-489, 2014

Chyluria associated with nephrotic-range proteinuria: pathophysiology, clinical picture and therapeutic options. Nephron. Clinical Practice 119(3): C248-53; Discussion C254, 2012

Filiarial chyluria with nephrotic-range proteinuria and associated hypoalbuminaemia and hypogammaglobulinaemia secondary to bilateral lymphorenal fistulae. BMJ Case Reports 2017, 2018

Report on a case of chyluria with review of literature. Zeitschrift für Urologie 50(7): 401-406, 1957

Chyluria: a case report and brief literature review. Journal of Urology 117(3): 393-394, 1977

Chyluria: case report and review of literature. Annals of Internal Medicine 42(4): 931-937, 1955

Chyluria: report of a case and review of the literature. Journal of Urology 87: 200-202, 1962