聚维酮碘灌注治疗乳糜尿：一例报告

Instillation of Povidone-Iodine as A Management of Chyluria: A Case Report.

作者信息

Tirtayasa Pande Made Wisnu, Duarsa Gede Wirya Kusuma

机构信息

Department of Urology, Faculty of Medicine Universitas Udayana, Bali, Indonesia.

Surya Husadha Hospital, Denpasar, Bali, Indonesia.

出版信息

Eur J Case Rep Intern Med. 2022 Apr 26;9(4):003336. doi: 10.12890/2022_003336. eCollection 2022.

DOI:10.12890/2022_003336

PMID:35520366

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9067418/

Abstract

BACKGROUND

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.

CASE DESCRIPTION

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.

CONCLUSION

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.

LEARNING POINTS

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.

摘要