Glück Z, Rüegger S, Sulser T
Nephrologische Abteilung, Spitalzentrum Biel.
Ther Umsch. 2002 Mar;59(3):144-7. doi: 10.1024/0040-5930.59.3.144.
A 27 year old patient presented with a sudden acute illness showing right flank pain, milky urine, nephrotic range proteinuria, erythrocyturia and leukocyturia in the urinary sediment with a negative leukocyte test stick. The proof of a pronounced hypertriglyceriduria led to the diagnosis of Chyluria. The lymphangiogram confirmed the presence of a retroperitoneal lymphatic dysplasia with evidence of communication with the right renal pelvis on the CT-lymphogram. Chyluria is generally the result of parasitic infection and is extremely rare in Europe. In the presence of symptoms including milky urine, proteinuria and leukocyturia in the urinary sediment and a negative urine leukocyte stick test and absence of infectious signs, chyluria must be suspected. The diagnosis should be substantiated through proof of hypertriglyceriduria and confirmed by lymphangiography.
一名27岁患者突发急性疾病，表现为右侧腰痛、乳糜尿、肾病范围蛋白尿、血尿和尿沉渣中白细胞尿，而白细胞试纸检测呈阴性。明显的高甘油三酯尿症确诊为乳糜尿。淋巴管造影证实存在腹膜后淋巴发育异常，CT淋巴管造影显示与右肾盂相通。乳糜尿通常是寄生虫感染的结果，在欧洲极为罕见。当出现包括乳糜尿、蛋白尿和尿沉渣中白细胞尿，且尿白细胞试纸检测呈阴性且无感染迹象的症状时，必须怀疑乳糜尿。诊断应通过高甘油三酯尿症的证据得到证实，并通过淋巴管造影确认。
