Robot-assisted staged bilateral reno-lymphatic disconnection for massive idiopathic chyluria: A case report
Year:
2024
Type of item:
Articolo in Rivista
Tipologia ANVUR:
Articolo su rivista
Language:
Inglese
Referee:
Sì
Name of journal:
UROLOGY CASE REPORTS
ISSN of journal:
2214-4420
N° Volume:
54
Page numbers:
1-4
Keyword:
case report; Chyluria; Milky urine; Pediatric; robotic surgery
Short description of contents:
Chyluria, an abnormal lymphatic disorder, results in excessive abdominal lymph drainage into the urinary system, causing protein loss, nutritional deficiencies, and immune issues. Mainly linked to parasitic infections in developed countries, non-parasitic causes like trauma or tumors are rare. Typically appearing in adults with bilateral involvement, management options include conservative or surgical approaches. We present the case of a 13-year-old with congenital chyluria, treated with robot-assisted staged reno-lymphatic disconnection after failed interventional radiology. Bilateral scleroangiography followed, leading to persistently milky urine for a month. Finally, urine clarity improved, correlating with better urinalysis, emphasizing the need for a comprehensive, multi-disciplinary approach.