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At least 721 records · Page 40Linked to original sources
PubMed1999

Pelvi-calyceal cast formation following silver nitrate treatment for chyluria.

A case of chyluria is reported in which anuria followed instillation of 3% silver nitrate into the collecting system of both kidneys, with unusual radiographic features. Plain radiographic, ultrasound and computed tomographic findings are discussed. To the best of the authors' knowledge this has not been previously described in the literature.

Adult↗
PubMed1999

Computed tomography demonstration of a fat-fluid level in tuberculous chylous ascites.

The occurrence of fat-fluid levels in ascites, although rare, is pathognomic of chylous ascites. The ultrasound and CT scan findings of a fat-fluid level in the ascitic fluid of a patient with abdominal tuberculosis are described here. Recognition of this important sign, in conjunction with other ancillary findings of abdominal tuberculosis, assist in establishing the correct diagnosis. Anti-tuberculous chemotherapy suffices in treating the condition, thus obviating the need for surgical intervention.

Adult↗
PubMed1997

Surgical disconnection of lymphorenal communication for chyluria: a 15-year experience.

OBJECTIVE: To present the results of surgical lymphorenal disconnection and its advantages in patients with severe chyluria. PATIENTS AND METHODS: Seventy-eight patients (40 men and 38 women, age 22-58 years) with severe chyluria of variable duration (5 months to 14 years), underwent surgical disconnection of the lymphorenal communication after confirming the diagnosis of chyluria by urine examination for fat globules, lymphangiography to delineate the side, site and extent of lymphorenal communication, and cystoscopy to decide the side to be operated. The areolar tissue containing dilated lymphatics travelling to the kidney in the perirenal and hilar region was dissected and divided between ligatures, thus stripping these structures completely; only one side was operated at a time. RESULTS: All 78 patients were available for a minimum follow-up of 1 year, with the longest follow-up 15 years. Lymphangiography showed unilateral communication in 52 (66%) and bilateral in 26 (34%). If the patient was given a high-fat meal before surgery, the intra-operative visualization of the lymphatics was improved. With unilateral surgery, clearance was achieved in 74 (94%) immediately, with final success in 69 (88%) patients. Of the 26 (34%) patients with bilateral lesions, nine (12%) required bilateral surgery, giving a clearance rate of 97%. In two cases of failure, repeat surgery was successful in one; thus the overall success rate was 98%. CONCLUSION: Lymphorenal disconnection for chyluria is simple, successful as a permanent cure and with almost negligible complications. Bilateral lymphorenal communication seen on lymphangiography does not always warrant bilateral surgery.

Adult↗
PubMed1975

[Chylous reflux and chylous ascites in lymphatic dysplasia, with the lymphographic demonstration of mediastinal and retroperitoneal lymphatic cysts].

Two patients with congenital dysplasia of the lymphatic system and with chylous ascites are described. In one 24-year old woman with this rare condition, it was possible to demonstrate for the first time numerous mediastinal lymphatic cysts during lymphangiography. Both patients showed an abnormality of the retroperitoneal lymphatics, consisting of lymphatic dilatation and cysts. In the investigation of chylous ascites, direct lymphangiography must be regarded as a valuable and necessary investigation.

Adult↗
PubMed1979

Clinical studies using radiocolloid in chyluria.

Very little radioactive colloid, injected subcutaneously is excreted in urine by the normal kidney. In chyluria patients, however, radiocolloid injected subcutaneously (not venously) is passed through in larger quantities in the urine to the control patients, because of the lymphatic communication with urinary tract. As far as we investigated, measurement of the radiocolloid in urine is a valid clinical test for chyluria patients.

Adult↗