From red to white urine: a patient's nightmare with a rather benign outcome
1 Department of Nephrology & Hypertension, University of Erlangen-Nuremberg, Ulmenweg 18, 91054 Erlangen, Germany
2 KfH Dialysezentrum Fürth, Jakob-Henle-Haus, Robert-Koch str. 41, 90766 Fürth, Germany
3 Department of Pathology, University of Erlangen-Nuremberg, Krankenhausstr. 12, 91054 Erlangen, Germany
4 Department of Radiology, University of Erlangen-Nuremberg, Maximiliansplatz 1, 91054 Erlangen, Germany
BMC Nephrology 2012, 13:7 doi:10.1186/1471-2369-13-7Published: 1 February 2012
Chyluria is a medical condition with presence of chyle in the urine. The disease is most prevalent in endemic regions of Africa and the Indian subcontinent where it is mostly caused by parasitic infections, particularly lymphatic filariasis due to wucheria bancrofti. Non-parasitic chyluria, however, is a very rare finding.
We report the case of a 48 year old woman who developed a lymphorenal fistula with chyluria following ureterrenoscopy with biopsies taken for urological work-up of persistent macrohematuria. Renal biopsy confirmed the diagnosis of benign familial hematuria due to thin basement nephropathy, a condition frequently associated with episodes of macrohematuria.
This case highlights a rare case of non-parasitic chyluria as a complication of urological work-up for macrohematuria of benign nature.