CHYLURIA - CASE-REPORT ON DIAGNOSIS AND T REATMENT

Chyluria results from the passage of lymph into the urine via abnormal lymphaticourinary communications at the level of kidney, ureter or bl adder. While filariasis is the most common cause of chyluria in tropic al endemic areas congenital anomalies or obstructions of the lymphatic duct predominate in Europe. This report describes symptoms as well as diagnostic and therapeutic procedures in a 12-year-old boy with chylu ria caused by a congenital fistula between lymphatic system and the bl adder. Conclusions: In case of ''milky'' urine chyluria should be cons idered as differential diagnosis. Lymphangiography is the most importa nt diagnostic procedure to demonstrate the site of leakage. Obstructio ns of the lymphatic system caused by filiasis, tuberculosis and tumors have to be excluded. Chyluria without concurrent weightless, hypoalbu minemia, anemia and colics should be treated conservatively.