Tirtayasa Pande Made Wisnu, Duarsa Gede Wirya Kusuma
Department of Urology, Faculty of Medicine Universitas Udayana, Bali, Indonesia.
Surya Husadha Hospital, Denpasar, Bali, Indonesia.
Eur J Case Rep Intern Med. 2022 Apr 26;9(4):003336. doi: 10.12890/2022_003336. eCollection 2022.
Chyluria is usually associated with parasitic disease caused by and is rare in non-endemic regions. The management of chyluria varies according to the severity of the condition. This report describes a case of mild chyluria and successful treatment using sclerotherapy.
A 44-year-old man presented with a first episode of painless milky urine. The diagnosis of chyluria was established following retrograde pyelography showing a fistula between the right pelviocalyces and the retroperitoneal lymphatic systems. The patient had not travelled to any endemic regions. Sclerotherapy using povidone-iodine was carried out resulting in closure of the fistula.
Sclerotherapy using povidone-iodine as the sclerosing agent was effective and safe for the management of a patient with mild chyluria. However, the best treatment for chyluria should be tailored to the patient's condition.
Treatment of chyluria with instillation of povidone-iodine as a sclerosing agent provides an excellent outcome.The treatment of chyluria is should be tailored to disease severity.
乳糜尿通常与由[寄生虫名称未给出]引起的寄生虫病相关，在非流行地区较为罕见。乳糜尿的治疗方法因病情严重程度而异。本报告描述了一例轻度乳糜尿病例及采用硬化疗法成功治疗的情况。
一名44岁男性首次出现无痛性乳糜尿。逆行肾盂造影显示右肾盂盏与腹膜后淋巴系统之间存在瘘管，从而确诊为乳糜尿。该患者未曾前往任何流行地区。采用聚维酮碘进行硬化治疗，瘘管得以闭合。
使用聚维酮碘作为硬化剂进行硬化治疗对轻度乳糜尿患者有效且安全。然而，乳糜尿的最佳治疗方案应根据患者具体情况量身定制。
用聚维酮碘作为硬化剂灌注治疗乳糜尿效果良好。乳糜尿的治疗应根据疾病严重程度进行调整。
