Goel Apul, Goyal Neeraj Kumar, Parihar Anit, Singh Ragini
Department of Urology, King George Medical University, Lucknow, Uttar Pradesh, India.
Department of Radiology, King George Medical University, Lucknow, Uttar Pradesh, India.
Indian J Urol. 2014 Jan;30(1):115-6. doi: 10.4103/0970-1591.124221.
There are no standardized radiological investigations in a patient with chyluria. Retrograde pyelography (RGP) is usually done to demonstrate pyelo-lymphatic reflux before invasive therapy in the form of sclerotherapy and surgery. We describe magnetic resonance-RGP using gadolinium to demonstrate pyelo-lymphatic reflux in addition to the other intra-abdominal details provided by MRI. The advantages of this technique include avoidance of ionic contrast media and radiation exposure and possibility of better understanding of the disease pathophysiology.
对于乳糜尿患者，目前尚无标准化的放射学检查方法。逆行肾盂造影（RGP）通常在进行硬化疗法和手术等侵入性治疗之前进行，以显示肾盂淋巴反流。我们描述了使用钆剂的磁共振-RGP，它除了能提供MRI所显示的其他腹腔内细节外，还能显示肾盂淋巴反流。该技术的优点包括避免使用离子型造影剂和辐射暴露，以及有可能更好地理解疾病的病理生理学。
