Non Parasitic Chyluria and Nephrotic Range Proteinuria: A Case Report

Abstract

Chyluria is excreting chyle in urine leading to white urine. It can cause mild proteinuria. It could be parasitic or non parasitic in origin. It is often mistaken as nephrotic syndrome or urinary tract infection. Normal renal biopsy should prompt for further investigation. Lymphangiography or retrograde pyelogram can establish the diagnosis. Non parasitic chyluria is rare, but do occur like the one reported in this case. Hereby, authors discuss a case of chyluria associated with proteinuria in a 49-year-old male patient, due to non parasitic cause which was successfully treated. Treatment was done with installation of povidone iodine into renal pelvis. The resolution of chyluria and proteinuria suggest that abnormal lymphatic-urinary communications was causing chyluria.

Keywords

• lymphatics
• pelvi-calyceal system
• white urine