CHYLURIA is a disease in which the anatomical defect is characterized by abnormal connections between the lymphatic and genitourinary systems. Although described by Hippocrates,1 it was not until the advent of retrograde pyelography and lymphangiography that these communications were demonstrable in the living subject. While pyelolymphatic reflux was demonstrated as early as 1929,2 it was not until 1963 that the first reports in the English literature described the demonstration of these communications by lymphangiography.3,4 Since then several additional case reports have been published.5,6
Recently, we have had the opportunity to study a patient with chyluria who demonstrated pyelolymphatic reflux on retrograde pyelography. In addition, abnormal communications between the retroperitoneal lymphatics and the left kidney were demonstrable by lymphangiography.
Report of a Case
A 56-year-old native North Carolinian farmer was first admitted to the Duke University Medical Center on July 22, 1963. The significant findings were right
Pomerantz M, Jones WR. Chyluria With Lymphangiographic Abnormalities. JAMA. 1966;196(5):452–454. doi:10.1001/jama.1966.03100180124047
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