Guttilla Andrea, Beltrami Paolo, Bettin Laura, Galantini Andrea, Dal Moro Fabrizio, Ficarra Vincenzo, Zattoni Filiberto
Urology Department, ULSS 6 "Euganea", Camposampiero Hospital, Camposampiero, Padua - Italy.
Urology Clinic, Department of Surgical Oncological and Gastroenterological Sciences, University of Padua, Padua - Italy.
Urologia. 2017 Apr 28;84(2):65-70. doi: 10.5301/uj.5000225. Epub 2017 Mar 27.
Chyluria is the passage of chyle in the urine. The cause seems to be the rupture of retroperitoneal lymphatics into the pyelocaliceal system, giving urine a milky appearance. This communication is caused by the obstruction of lymphatic drainage proximal to intestinal lacteals, resulting in dilatation of distal lymphatics and the eventual rupture of lymphatic vessels into the urinary collecting system.This condition, if left untreated, leads to significant morbidity because of hematochyluria, recurrent renal colic, nutritional problems due to protein losses and immunosuppression resulting from lymphocyturia.In this review, we summarize the state of the art of this condition and the newest treatments available.
乳糜尿是指尿液中出现乳糜。其病因似乎是腹膜后淋巴管破裂进入肾盂肾盏系统，使尿液呈现出乳状外观。这种连通是由肠乳糜管近端的淋巴引流受阻引起的，导致远端淋巴管扩张，最终淋巴管破裂进入尿液收集系统。如果不进行治疗，这种情况会导致严重的发病率，原因包括血尿乳糜尿、复发性肾绞痛、因蛋白质流失导致的营养问题以及淋巴细胞尿引起的免疫抑制。在本综述中，我们总结了这种疾病的最新情况以及现有的最新治疗方法。
