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Urologe A ; 58(2): 151-154, 2019 Feb.
Article in German | MEDLINE | ID: mdl-30623218

ABSTRACT

Chyluria, a symptom that is very rare in the western world, describes the excretion of chyle into the urogenital system. We present the case of a 61-year-old woman with a severe form of nonparasitic chyluria. We were able to detect the fistula due to a newly developed diagnostic combination of Sudan III red with ureterorenoscopy. Prior to this, we had performed a lymphoscintigraphy twice without detecting the lymphorenal fistula, although lymphoscintigraphy is the current diagnostic standard. This is the first case report of severe, nonparasitic chyluria.


Subject(s)
Chyle , Fistula , Kidney Diseases , Female , Fistula/diagnosis , Humans , Kidney , Kidney Diseases/diagnosis , Middle Aged , Urine
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