Idiopathic left renal quiluria associated with pregnancy
Keywords:
chyluria, urinary fistula, filariasis.Abstract
Introduction: The elimination of urine containing large amounts of chyllous material and acquiring a milky appearance is known as quiluria. Except in regions where it is endemic, lymphatic filariasis, the main etiology, is generally considered to be a rare disorder.Objective: To describe a case of chyluria associated with pregnancy.
Clinical case: 32-year-old female patient with multiple admissions to the nephrology service at Hospital Celia Sánchez Manduley since 2007 for presenting whitish urine, a clinical picture that began with the first pregnancy. The symptom disappeared, then reappeared with the second pregnancy, first intermittently and then became permanent with hematuria, proteinuria, edema and other clinical and biochemical alterations.
Conclusions: Nephrectomy is indicated in chyluria when it puts the patient's life at risk and affects the quality of life, if there are no other therapeutic alternatives.
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References
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14. Emiliani E, Gavrilov P, Wong A, Ponce De León J, Montlleó M, Caparrós J, et al. Quiluria. Presentación de un caso y revisión de la literatura. Actas Fund. Puigvert. 2012 [acceso: 05/12/2019]; 31(4):[aprox. 6p.]. Disponible en: https://www.fundacio-puigvert.es/sites/default/files/afp_04_2012.pdf
15. Guttilla A, Beltramia P, Bettina L, Galantini A, Dal Moroa F, Ficarra V, et al. Non-Parasitic Chyluria: Our Experience With Sclerotherapy WithSolution of Povidone-Iodine and Destrose and A Review of theLiterature. Urology Case Reports. 2016 [acceso: 05/12/2019]; 8:[aprox. 2p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925792/pdf/main.pdf
2. Lim JT, Fraser SL. Chyluria due to lymphatic filariasis: case report and review. Hawaii Med J. 2004 [acceso: 05/12/2019]; 63(7):[aprox. 2p.]. Disponible en: https://core.ac.uk/download/pdf/77123005.pdf
3. Vargas Herrera J, Arrospide Velasco N, Gutiérrez Gonzáles S, Chirinos Palomino F, Gebol Cahuaza M. Filariosis por Mansonella ozzardi en la región Loreto, una infección desatendida. Bol Inst Nac Salud. 2012 [acceso: 05/12/2019]; 18(5-6):[aprox. 3p.]. Disponible en: https://repositorio.ins.gob.pe/handle/INS/362
4. Uzu T, Takamori K, Fujino Y, Fukui T. Idiopathic Chyluria with Nephrotic-range Proteinuria and Hypothyroidism. Intern Med 2019 [acceso: 05/12/2019]; 58:[aprox. 2 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6543233/pdf/1349-7235-58-1307.pdf
5. Saha M, Ray S, Goswami M, Kundu S, Saha P, Saha A, et al. An occult filarial infection presenting as chyluria with proteinuria: a case report and review of literatura. BMJ Case Reports. 2012 [acceso: 05/12/2019];2012: [aprox. 4 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4542962/
6. Dreyer G, Mattos D, Norões J. Quilúria. Rev Assoc Med Bras. 2007 [acceso: 05/12/2019]; 53(5):[aprox. 4p.]. Disponible en: https://www.scielo.br/pdf/ramb/v53n5/a25v53n5.pdf
7. Abeygunasekera AM, Sutharshan K, Balagobi B. New developments in chyluria after global programs to eliminate lymphatic filariasis. International Journal of Urology. 2017 [acceso: 05/12/ 2019]; 24:[aprox. 6 p.]. Disponible en: https://onlinelibrary.wiley.com/doi/pdf/10.1111/iju.13378
8. Uzu T, Takamori K, Fujino Y, Fukui T. Idiopathic Chyluria with Nephrotic-range Proteinuria and Hypothyroidism. Intern Med 2019 [acceso: 05/12/2019]; 58:[aprox. 2p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6543233/pdf/1349-7235-58-1307.pdf
9. Cheng JT, Mohan S, Nasr SH, D'Agat VD. Chyluria presenting as milky urine andnephrotic-range proteinuria. Kidney Int. 2006 [acceso: 05/12/2019]; 70(8):[aprox. 4p.]. Disponible en: https://www.kidney-international.org/article/S0085-2538(15)52145-5/pdf
10. Esparza N, Errasti P, Maduell F, Longo J, Fernández J, Bolaños L, et al. Quiluria asociada a trasplante renal en posición ortotópica. Nefrología. 1990 [acceso: 05/12/2019]; X(4):[aprox. 2p.]. Disponible en: https://www.revistanefrologia.com/en-pdf-X0211699590044140
11. Lloyd-Davies RW, Edwards JM, Kinmonth JB. Chyluria: a report of five cases with particular reference to lymphography and direct surgery. Br J Urol. 1967 [acceso: 05/12/2019]; 39(5):[aprox. 10p.]. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1464-410X.1967.tb11795.x
12. Dev N, Kumar R. Chyluria: A rare initial manifestation of disseminated tuberculosis. Int J Mycobacteriol. 2018 [acceso: 05/12/2019]; 7(3):[aprox. 2p.]. Disponible en: https://www.ijmyco.org/temp/IntJMycobacteriol73282-590291_162349.pdf
13. Triffoni-Melo AT, Diez-Garcia RW, Barros Silva GE, Freitas García Caldas F, Wichert-Ana L, Corte Denardi R, et al. Good response of low-fat/high-protein diet in a patient with chyluria. Ren Fail. 2014 [acceso:05/12/2019]; 36(3):[aprox. 3p.]. Disponible en: https://www.tandfonline.com/doi/pdf/10.3109/0886022X.2013.865485?needAccess=true
14. Emiliani E, Gavrilov P, Wong A, Ponce De León J, Montlleó M, Caparrós J, et al. Quiluria. Presentación de un caso y revisión de la literatura. Actas Fund. Puigvert. 2012 [acceso: 05/12/2019]; 31(4):[aprox. 6p.]. Disponible en: https://www.fundacio-puigvert.es/sites/default/files/afp_04_2012.pdf
15. Guttilla A, Beltramia P, Bettina L, Galantini A, Dal Moroa F, Ficarra V, et al. Non-Parasitic Chyluria: Our Experience With Sclerotherapy WithSolution of Povidone-Iodine and Destrose and A Review of theLiterature. Urology Case Reports. 2016 [acceso: 05/12/2019]; 8:[aprox. 2p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925792/pdf/main.pdf
Published
2020-10-06
How to Cite
1.
López Escudero P de J, Alvares Vázquez B, Estrada Scott M. Idiopathic left renal quiluria associated with pregnancy. Rev Cubana Med Milit [Internet]. 2020 Oct. 6 [cited 2025 Jun. 16];49(4):e0200697. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/697
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