Vogt K, Netsch C, Pfeiffer D, Venneri Becci A, Gross A J, Becker B
Abteilung für Urologie, Asklepios Klinik Barmbek, Rübenkamp 220, 22291, Hamburg, Deutschland.
Urologe A. 2019 Feb;58(2):151-154. doi: 10.1007/s00120-018-0849-2.
Chyluria, a symptom that is very rare in the western world, describes the excretion of chyle into the urogenital system. We present the case of a 61-year-old woman with a severe form of nonparasitic chyluria. We were able to detect the fistula due to a newly developed diagnostic combination of Sudan III red with ureterorenoscopy. Prior to this, we had performed a lymphoscintigraphy twice without detecting the lymphorenal fistula, although lymphoscintigraphy is the current diagnostic standard. This is the first case report of severe, nonparasitic chyluria.
乳糜尿在西方世界是一种非常罕见的症状，指乳糜排入泌尿生殖系统。我们报告一例61岁患有严重非寄生虫性乳糜尿的女性病例。通过新开发的苏丹III染色与输尿管肾镜检查相结合的诊断方法，我们得以检测到瘘管。在此之前，尽管淋巴闪烁造影是目前的诊断标准，但我们进行了两次淋巴闪烁造影，均未检测到淋巴肾瘘。这是首例严重非寄生虫性乳糜尿的病例报告。
