“Non-Parasitic” and “Non-Iatrogenic” Chyluria: Its Diagnosis and Treatment

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Author Info

Marco Rinaldi Pier Paolo Prontera Francesco Saverio Grossi Marco Spilotros Giuseppe Lucarelli Gaetano De Rienzo Pasquale Ditonno Michele Battaglia

Corresponding Author

Pier Paolo Prontera
Medical Director in Urology, S.S. Annunziata Hospital, Taranto, Italy

A B S T R A C T

Chyluria occurs in all its forms with milky urine, recurrent episodes of acute urinary retention, left renal colic and proteinuria. In non-parasitic or iatrogenic diseases, it is secondary to communicate between the cisterna system of the chyli and the lymphatics of the calyx system of the left urinary tract with a retrograde passage of a kilo and its appearance in the urine which therefore take on a milky appearance [1, 2]. Sometimes, episodically, especially after the ingestion of a high-fat meal, the quantity of kilo is so abundant that it can cause obstruction of the upper urinary tract and of the bladder, resulting in renal colic or acute urinary retention that may require their unblocking with double J stent or bladder catheter [3, 4]. After conservative attempts with a fat-free diet or with the parenteral diet, in case of their failure, surgery must be performed by performing a para-aortic and renal hilum lymphadenectomy and, in severe cases, with intraperitonealization of the kidney and left ureter. This is the case of the patient reported below and successfully treated recently with an innovative “open” surgical technique.

Article Info

Article Type

Case Report

Publication history

Received: Tue 23, Feb 2021
Accepted: Tue 23, Mar 2021
Published: Tue 04, May 2021

Copyright

© 2023 Pier Paolo Prontera. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2021.03.20