A rare case of milky urine.
Summary of "A rare case of milky urine."
Chyluria is an uncommon condition characterized by lymphatic fluid excretion into the urinary tract. Most common causes of chyluria are infections by parasites e.g. filariasis, echinococcosis, or cysticercosis. Nonparasitic chyluria is a very rare condition and possible etiologies include granulomatous disease (e.g. tuberculosis, leprosy, and fungal infection), malignomes, inherited and acquired malformation (posttraumatic), pregnancy, or aortic aneurysm. We present a case of a 73-year-old man, born and raised in Taiwan, but living in Austria for the past 5 years. He was admitted in our department by a general practitioner due to milky urine, whose turbidity increased after meal. All tests for infectious diseases or other above-mentioned causes remained negative. Additionally, although flexible cystoscopy yielded in a clear diagnosis of a milky urine jet out of the right urether, CT urography and bipedal lymphangiography failed to locate the lymphorenal fistula. Due to a stable renal function and absence of lipid metabolism disorders, a conservative management of the patient was chosen.
Affiliation
Department of Internal Medicine IV, Nephrology and Hypertensiology, Innsbruck Medical University, Innsbruck, Austria.
Journal Details
This article was published in the following journal.
Name: Wiener klinische Wochenschrift
ISSN: 1613-7671
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20872078
- DOI: http://dx.doi.org/10.1007/s00508-010-1465-3
Medical and Biotech [MESH] Definitions
Sarcosine Dehydrogenase
A LIVER mitochondrial matrix flavoenzyme that catalyzes the oxidation of SARCOSINE to GLYCINE and FORMALDEHYDE. Mutation in the enzyme causes sarcosinemia, a rare autosomal metabolic defect characterized by elevated levels of SARCOSINE in BLOOD and URINE.
Chylous Ascites
Presence of milky lymph (CHYLE) in the PERITONEAL CAVITY, with or without infection.
Metals, Rare Earth
A group of elements that include SCANDIUM; YTTRIUM; and the LANTHANOID SERIES ELEMENTS. Historically, the rare earth metals got their name from the fact that they were never found in their pure elemental form, but as an oxide. In addition they were very difficult to purify. They are not truly rare and comprise about 25% of the metals in the earth's crust.
Chyle
An opaque, milky-white fluid consisting mainly of emulsified fats that passes through the lacteals of the small intestines into the lymphatic system.
Urination Disorders
Abnormalities in the process of URINE voiding, including bladder control, frequency of URINATION, as well as the volume and composition of URINE.
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