Abstract
Chyluria is a urological manifestation of lymphatic system abnormality as a result of some abnormal communication between these two systems. Although chyluria as such is rare, filariasis is most common cause in Asian countries. This parasitic tropical debilitating disease is known for chronicity, recurrence and resultant complications. This article provides importance of Magnetic Resonance Imaging (MRI), as a non-invasive modality, in the diagnosis of exact etiopathogenesis of chyluria along with clinical symptoms, other investigations required and brief about the management protocols. On MRI, abnormally dilated lymphatics are visualized as meshwork of multiple tubular, tortuous, fluid-filled structures in the retroperitoneum. We report a case of 20 year young adult who presented with history of passing whitish urine on and off since 8 months. MRI helped in the detection of the site and level of lymphatic obstruction and resultant lympho-urinary fistula.
Highlights
Chyluria is a urological manifestation of lymphatic system abnormality as a result of some abnormal communication between these two systems
On Magnetic Resonance Imaging (MRI), abnormally dilated lymphatics are visualized as meshwork of multiple tubular, tortuous, fluid-filled structures in the retroperitoneum
MRI helped in the detection of the site and level of lymphatic obstruction and resultant lympho-urinary fistula
Summary
Chyluria is a condition characterized by passage of milky urine, caused by obstruction or physiological impairment of the renal lymphatics, and passage of lymph into the urinary tract. Chyluria may lead to severe malnourishment due to passage of large quantities of fat and protein in the urine. The exact location of the underlying lympho-urinary fistula is necessary in the management of these cases
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