Nontropical chyluria secondary to massive mesenteric adenitis

Pg, Cohen; Jf, Glenn; Nm, Franco; Mt, Bailey; Dubose, P

doi:10.1016/0002-9343(84)90128-1

Cited by 6 publications

(2 citation statements)

References 30 publications

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“…The causes include that of granulomatous infection,7 pregnancy,8 9 massive mesenteric adenitis,10 glomerular disease,11–13 aortic aneurysm,14 15 neoplasms16–20 and malformations of the lymphatic system 21–27. It has also been reported to occur following trauma28 or surgical procedures like partial nephrectomy,29 30 hemicolectomy,31 cardiac catheterisation,32 oesophagectomy,33 posterior spinal fusion34 and radiofrequency ablation of renal cell carcinoma 35 36.…”

Section: Discussionmentioning

confidence: 99%

Chyluria in non-filarial endemic areas: an internist’s perspective

Tan

2017

BMJ Case Reports

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A 60-year-old Chinese woman presented with intermittent, painless, gross haematuria and subsequently complained of persistent milky urine. The diagnosis of chyluria was confirmed after cystoscopy demonstrated ureteric milky fluid discharge which had elevated levels of triglycerides. The patient did not travel to filarial endemic areas and her serum circulating filarial antigen was negative. Intravenous pyelography with CT of the abdomen did not reveal any masses or obstruction. It was determined that her chyluria was non-parasitic in origin and her symptoms improved with a low fat, high-protein diet. However, her chyluria recurred 1 year later, resulting in hypoalbuminaemia and proteinuria. Her symptoms resolved and her albumin levels normalised with adherence to dietary modifications.

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Section: Discussionmentioning

confidence: 99%

Chyluria in non-filarial endemic areas: an internist’s perspective

Tan

2017

BMJ Case Reports

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“…Retrograde studies had demonstrated pyelolymphatic backflow, while lymphangiography revealed prominent lymphaticocaliceal communications [2]. Intrarenal cortical and corticomedullary microlymphatics, as well as veins, become filled following forniceal rupture and interstitial extravasation.…”

Section: Introductionmentioning

confidence: 99%

Pyelolymphatic backflow demonstrated by abdominal CT: A case report

et al. 2014

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Summary Background Pyelolymphatic backflow phenomenon, which is a subtype of pyelorenal backflow, is a rare condition that occurs during the acute phase of urinary obstruction. Pyelorenal backflow has already been described in humans with retrograde pyelography. Our report presents a rare case of pyelolyphatic backflow demonstrated by a computed tomography. Case Report A 67-year-old man with a history of bladder carcinoma was admitted to the emergency department due to right-sided flank pain and hematuria. Hematuria resolved after insertion of a 3-way urinary catheter, but flank pain persisted. As a result, an abdominopelvic CT was performed. CT revealed numerous tiny, serpiginous tubular structures connected with each other and filled with urine. They began intrarenally and extended caudally surrounding the ureter in the retroperitoneum. Subsequently, the patient underwent an ultrasound-guided nephrostomy to decompress the collecting system of the right kidney. Antegrade pyelography revealed minimal hydroneprosis. However, no leakage from the ureter to the retroperitoneum was observed, proving that the changes demonstrated by a CT were due to pyelolymphatic reflux caused by increased pressure in the collecting tubules filling the lymphatics with opaque urine. Conclusions This report presents a very rare case of pyelolymphatic reflux demonstrated by a CT. We present this case report as a reminder that although rare, pyelolymphatic reflux can occur as a result of obstruction without manifestations of hydronephrosis and it can be confused with leakage from the ureter.

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Kidney Lymphatics

Russell

Itkin

Windsor

et al. 2023

Comprehensive Physiology

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Following significant advances in lymphatic biology, the important role of kidney lymphatics in kidney function and dysfunction is now being more fully appreciated. Kidney lymphatics begin in the cortex as blind-ended lymphatic capillaries and then coalesce into larger lymphatics that follow the main blood vessels out through the kidney hilum. Their function in draining interstitial fluid, macromolecules, and cells underpins their important role in kidney fluid and immune homeostasis. This article provides a comprehensive overview of recent and more established research findings on kidney lymphatics and the implications of these findings for kidney function and disease. The use of lymphatic molecular markers has greatly expanded our knowledge of the development, anatomy, and pathophysiology of kidney lymphatics. Significant recent discoveries include the diverse embryological source of kidney lymphatics, the hybrid nature of the ascending vasa recta, and the effects of lymphangiogenesis on kidney diseases such as acute kidney injury and renal fibrosis. On the basis of these recent advances, there is now an opportunity to link information from across multiple research disciplines to drive a new era of lymphatic-targeted therapies for kidney disease.

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Nontropical chyluria secondary to massive mesenteric adenitis

Cited by 6 publications

References 30 publications

Chyluria in non-filarial endemic areas: an internist’s perspective

Chyluria in non-filarial endemic areas: an internist’s perspective

Pyelolymphatic backflow demonstrated by abdominal CT: A case report

Kidney Lymphatics

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