We report a case of 61-year-old male who presented with chyluria after partial nephrectomy.
Ronald J. Kim, Fadi N. Joudi 2009, 'Chyluria after Partial Nephrectomy: Case Report and Review of the Literature', The Scientific World Journalhttp://dx.doi.org/10.1100/tsw.2009.5. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
We discuss various modalities of treatment of chyluria including complications of silver nitrate therapy.
Jayesh V Dhabalia, Girish G Nelivigi, Manav Suryavanshi, Shal Kakkattil, Vikash KumarSingh 2007, 'An unusual complication of silver nitrate therapy for chyluria', Indian Journal of Urologyhttp://www.indianjurol.com/article.asp?issn=0970-1591;year=2007;volume=23;issue=2;spage=203;epage=204;aulast=Dhabalia. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
A fat-fluid level was seen within the urinary bladder, consistent with chyluria.
Wah Tze 2011, 'An unusual cause of chyluria after radiofrequency ablation of a renal cell carcinoma:a case report', Journal of Medical Case Reportshttp://www.jmedicalcasereports.com/content/5/1/307. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
Apart from the clinical grade of chyluria, hematuria was evaluated as an independent risk factor.
Neeraj Kumar Goyal, Apul Goel, Satyanarayan Sankhwar, Vishwajeet Singh, Wahid Ali,S M Natu, Bhupendra Pal Singh, Rahul Janak Sinha, Divakar Dalela 2014, 'Factors affecting response to medical management in patients of filarial chyluria:A prospective study', Indian Journal of Urologyhttp://www.indianjurol.com/article.asp?issn=0970-1591;year=2014;volume=30;issue=1;spage=23;epage=27;aulast=Goyal. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
Chyluria occurs as a result of communication between the lymphatics and the renal pelvis.
Chin-Ming Su, Yung-Chin Lee, Wen-Jen Wu, Hung-Lung Ke, Yii-Her Chou, Chun-Hsiung Huang 2004, 'Acute Necrotizing Ureteritis with Obstructive Uropathy Following Instillation of SilverNitrate in Chyluria: A Case Report', Kaohsiung Journal of Medical Scienceshttp://www.sciencedirect.com/science/article/pii/S1607551X09702517. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
Overall sclerotherapy has shown effectiveness of ~85% in curing chyluria.
K J Singh, A Srivastava 2005, 'Nonsurgical management of chyluria (sclerotherapy)', Indian Journal of Urologyhttp://www.indianjurol.com/article.asp?issn=0970-1591;year=2005;volume=21;issue=1;spage=55;epage=58;aulast=Singh. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
Filarial chyluria usually responds to medical management while non-filarial cases may require surgical intervention.
Sham Sunder, Rajesh Jayaraman, Himanshu Sekhar Mahapatra, Satyanand Sathi, K Venkataramanan,K Prabhu, Anurag Gupta, Suman Sethi 2014, 'Analysis of case series of milky urine: A single center and departmental clinicalexperience with emphasis on management perspectives: A prospective observational study',Urology Annalshttp://www.urologyannals.com/article.asp?issn=0974-7796;year=2014;volume=6;issue=4;spage=340;epage=345;aulast=Sunder. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
The numerous investigations carried out to elucidate the etiology of the chyluria were not rewarding.
Al-Anazi Awadh 1999, 'Membranous Glomerulonephritis in a Patient Presenting with Chyluria, Probably dueto Filariasis: How far should we investigate?', Saudi Journal of Kidney Diseases and Transplantationhttp://www.sjkdt.org/article.asp?issn=1319-2442;year=1999;volume=10;issue=2;spage=167;epage=170;aulast=Al-Anazi. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)
We found that chyluria was cured without any complication.
Yu Liang Liu, Shun Chen Huang, Hao Lun Luo 2018, 'The effect of dextrose instillation on a man with chylous hematuria: A case report',Urological Sciencehttp://www.e-urol-sci.com/article.asp?issn=1879-5226;year=2018;volume=29;issue=6;spage=307;epage=310;aulast=Liu. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)