Núñez Mora C, Cárcamo Valor P, de Cabo Ripoll M, Kabani M H, Martínez-Piñeiro Caramés J A
Servicio de Urología, Hospital Universitario La Paz, Universidad Autónoma de Madrid.
Arch Esp Urol. 1998 Nov;51(9):932-4.
To describe a case of recurrent chyluria and review the diagnostic and therapeutic methods.
METHODS/RESULTS: A case of non parasitic recurrent chyluria is presented. Retrograde pyelography demonstrated pyelolymphatic reflux. The patient presented chemical pyelitis secondary to the contrast medium which caused remission of the condition.
Chyluria is uncommon in our setting. Postprandial cystoscopy permits identification of the compromised renoureteral unit and perform pyelic instillation of sclerosing agents. Surgery should be reserved for those cases in whom conservative management has failed.
描述一例复发性乳糜尿病例，并回顾其诊断和治疗方法。
方法/结果：报告一例非寄生虫性复发性乳糜尿病例。逆行肾盂造影显示肾盂淋巴反流。患者出现造影剂继发的化学性肾盂炎，病情缓解。
在我们的医疗环境中，乳糜尿并不常见。餐后膀胱镜检查可确定受损的肾输尿管单位，并进行肾盂内注射硬化剂。手术应保留给保守治疗失败的病例。
