Open Access Open Access  Restricted Access Subscription or Fee Access

Atypical Presentation of Chyluria in Filarial Infection in a Child

(*) Corresponding author

Authors' affiliations

DOI's assignment:
the author of the article can submit here a request for assignment of a DOI number to this resource!
Cost of the service: euros 10,00 (for a DOI)


Chyluria is the presence of chyle in the urine. Chylus urine is the only presentation at the onset. The manifestation is due to the abnormal communication between the renal tract and lymphatic channels. The most common cause of chyluria is lymphatic filariasis. We present a case of  12 years old boy who presented with mild pain abdomen and milky urine of two months duration .The child underwent a battery of investigations like plain radiography, ultrasound, Magnetic Resonance Urography (MRU) and Computed Tomography Urography (CTU) to establish the diagnosis. The renaolymphatic communication was confirmed by a 99 m technetium sulphar colloid lymphocintigraphy .The patient was treated with Global Programm Lymphatic Filariasis (GPLEF) with the satisfactory outcome. There is great role of cross sectional and associated  modalities to come to the conclusion of the diagnosis for the cases where the symptomatology remain unclear.
Copyright © 2019 Praise Worthy Prize - All rights reserved.


Chyluria; Lymphatic Channel; MRU; CTU; Lymphocintigraphy

Full Text:



Diamond E, Schapira H. E. Chyluria –A review of the literature. Urology 1985;26(5):427-31.

Suresh S., Kumaraswamy V., Suresh I., Rajesh K., Suguna G., Vijyasekaron V., Ultrasonographic diagnosis of subclinical filariasis. J Ultrasound Med 1997;16:45-9.

Wadsworth D. E., Glazer H. S., McClennnan B. L., Chyluria. Urol Radiol 1983;5:113-9.

Saha M., Ray S., Goswami M., Kundu S., Saha P., Saha A., Maitra S., Talukdar, An occult filarial infection presenting as chyluria with proteinuria: a case report and review of literature, BMJ 2012 Case Reports.

Onyelie C. I., Sherer D.M., Trambert J., Nonfilarial chyluria during pregnancy. Obstet Gyynecol 1997;90:699-700.

Neuwirt H., Eller P., Tiefenthaler M., Mayer G., Rosenkranz A. R., A rare case of milky urine. Wiener Klinische Wochenschrift 2010;122(19-20):586-600.

Dalela D., Kumar A., Ahlawaat R., Goel T. C., Mishra V. K., Chandra H., Routine radio-imaging in filarial chyluria-is it necessary in developing countries? Br J Urol 1992;69(3):291-3.

Nishiyama Y., Yamamoto Y., Mori Y., Satoh K.m Usefulness of Tc99m human serum albumin. Clin Nuci Med 1998;23(7):429-31.

Martinez-Moya M., Dominguez-Parez A.D., Frutos-Arenas J., Fat-fluid intravessical level: a new sign of bladder rupture.AJR American journal of roentgenology 2011;197(2):W.

Varghese R., Raghuveer C.V., Pal M.R., Bansal R., Microflariae in cytologic smears:a report of six cases. Acta Cytol 1996;40:299-301.

Kumar M., Kumar R., Hemal A.K., Gupta N. P., Complications of retroperitoneoscopic surgery at one center. BJU Int 2001:87(7):607-12.

Hemal A.K., Gupta N.K., Retroperitoneoscopic lymphatic management of intractable chyluria. J Urol 2002;167(6);2473-6.

Gomella L.G., Shenot P., Abdel-Mequid T. A., Extraperitoneal laproscopic nephrolysis for the treatment of chyluria. BJU 1998;81:320-1.

Kazaoka J., Kusakabe M., Ottomo T., Akahane M., CT detection of fat retention in the bladder after partial nephrectomy. Abdominal radiology (New York) 2017;42(7):1819-1824.

Please send any question about this web site to
Copyright © 2005-2024 Praise Worthy Prize