Skip to main content
Top
Published in: Pediatric Nephrology 11/2012

01-11-2012 | Clinical Quiz

“Strawberry wees forever?”: Answers

Authors: Bernward Hinkes, Kerstin Benz, Julia Köhler, Wolfgang Rascher, Karin Hirsch

Published in: Pediatric Nephrology | Issue 11/2012

Login to get access

Excerpt

1.
Chyluria, the loss of chyle via the urinary tract, is a rare condition among children.
 
2.
Non-parasitic forms of childhood chyluria are predominantly observed in Western countries.
 
3.
Consistent with chyle leakage from the upper urinary tract or bladder the T2-sequence of the magnetic resonance tomography (MRT)–urography showed a ventral hypointense chyluric layer on top of the hyperintense urine. We then performed a cystoscopy, the leading diagnostic intervention in childhood chyluria, in order to locate a fistula between the lymphatic and urinary system.
 
Appendix
Available only for authorised users
Literature
1.
go back to reference Ganesh KS, Rao S, D'Cruz AJ (2007) Successful laparoscopic management of unilateral chyluria in a 5 year old. J Pediatr Urol 3:63–65PubMedCrossRef Ganesh KS, Rao S, D'Cruz AJ (2007) Successful laparoscopic management of unilateral chyluria in a 5 year old. J Pediatr Urol 3:63–65PubMedCrossRef
2.
go back to reference Stalens JP, Falk M, Howmann-Giles R, Roy LP (1992) "Milky" urine–a child with chyluria. Eur J Pediatr 151:61–62PubMedCrossRef Stalens JP, Falk M, Howmann-Giles R, Roy LP (1992) "Milky" urine–a child with chyluria. Eur J Pediatr 151:61–62PubMedCrossRef
3.
go back to reference Greig JD, MacKenzie JR, Azmy AA (1989) Congenital pyelolymphatic fistula in a child with chyluria. Br J Urol 63:550–551PubMedCrossRef Greig JD, MacKenzie JR, Azmy AA (1989) Congenital pyelolymphatic fistula in a child with chyluria. Br J Urol 63:550–551PubMedCrossRef
4.
go back to reference Graziani G, Cucchiari D, Verdesca S, Balzarini L, Montanelli A, Ponticelli C (2011) Chyluria associated with nephrotic-range proteinuria: pathophysiology, clinical picture and therapeutic options. Nephron Clin Pract 119:c248–253PubMedCrossRef Graziani G, Cucchiari D, Verdesca S, Balzarini L, Montanelli A, Ponticelli C (2011) Chyluria associated with nephrotic-range proteinuria: pathophysiology, clinical picture and therapeutic options. Nephron Clin Pract 119:c248–253PubMedCrossRef
5.
go back to reference Golestaneh L, Karam S, Lawrence J, Yang S, Greenberg M (2009) Hypercoagulability in a patient with chronic chyluria, proteinuria and hypoalbuminaemia. Nephrol Dial Transplant 24:3240–3243PubMedCrossRef Golestaneh L, Karam S, Lawrence J, Yang S, Greenberg M (2009) Hypercoagulability in a patient with chronic chyluria, proteinuria and hypoalbuminaemia. Nephrol Dial Transplant 24:3240–3243PubMedCrossRef
7.
go back to reference Kulkarni AA, Pathak MS, Sirsat RA (2005) Fatal renal and hepatic failure following silver nitrate instillation for treatment of chyluria. Nephrol Dial Transplant 20:1276–1277PubMedCrossRef Kulkarni AA, Pathak MS, Sirsat RA (2005) Fatal renal and hepatic failure following silver nitrate instillation for treatment of chyluria. Nephrol Dial Transplant 20:1276–1277PubMedCrossRef
8.
go back to reference Dash SC, Bhargav Y, Saxena S, Agarwal SK, Tiwari SC, Dinda A (1996) Acute renal failure and renal papillary necrosis following instillation of silver nitrate for treatment of chyluria. Nephrol Dial Transplant 11:1841–1842PubMedCrossRef Dash SC, Bhargav Y, Saxena S, Agarwal SK, Tiwari SC, Dinda A (1996) Acute renal failure and renal papillary necrosis following instillation of silver nitrate for treatment of chyluria. Nephrol Dial Transplant 11:1841–1842PubMedCrossRef
9.
go back to reference Giordano M, Crillo D, Baron I, Sorrentino F, Tomasino G, Cicchella T, De Bellis L, Giordano C (1996) Treatment of post-traumatic chyluria with subcutaneous octreotide administration. Nephrol Dial Transplant 11:365–367PubMedCrossRef Giordano M, Crillo D, Baron I, Sorrentino F, Tomasino G, Cicchella T, De Bellis L, Giordano C (1996) Treatment of post-traumatic chyluria with subcutaneous octreotide administration. Nephrol Dial Transplant 11:365–367PubMedCrossRef
10.
go back to reference Campieri C, Raimondi C, Dalmastri V, Sestigiani E, Neri L, Giudicissi A, Zompatori M, Stefoni S, Bonomini V (1996) Posttraumatic chyluria due to lymphorenal fistula regressed after somatostatin therapy. Nephron 72:705–707PubMedCrossRef Campieri C, Raimondi C, Dalmastri V, Sestigiani E, Neri L, Giudicissi A, Zompatori M, Stefoni S, Bonomini V (1996) Posttraumatic chyluria due to lymphorenal fistula regressed after somatostatin therapy. Nephron 72:705–707PubMedCrossRef
11.
12.
go back to reference Ohyama C, Saita H, Miyasato N (1979) Spontaneous remission of chyluria. J Urol 121:316–317PubMed Ohyama C, Saita H, Miyasato N (1979) Spontaneous remission of chyluria. J Urol 121:316–317PubMed
13.
go back to reference Coldplay (Berryman G, Buckland J, Champion W, Martin C) (2000). “Yellow” released in album “Parachutes”. Parlophone, London Coldplay (Berryman G, Buckland J, Champion W, Martin C) (2000). “Yellow” released in album “Parachutes”. Parlophone, London
Metadata
Title
“Strawberry wees forever?”: Answers
Authors
Bernward Hinkes
Kerstin Benz
Julia Köhler
Wolfgang Rascher
Karin Hirsch
Publication date
01-11-2012
Publisher
Springer-Verlag
Published in
Pediatric Nephrology / Issue 11/2012
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-012-2154-4

Other articles of this Issue 11/2012

Pediatric Nephrology 11/2012 Go to the issue