Chyluria after Partial Nephrectomy: Case Report and Review of the Literature
We report a case of 61-year-old male who presented with chyluria after partial nephrectomy. During workup for appendicitis, an incidental exophytic renal mass was revealed on CT scan. The patient ultimately underwent uncomplicated open partial nephrectomy. Postoperatively, his JP drain output turned...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/tsw.2009.5 |
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| _version_ | 1832554877734092800 |
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| author | Ronald J. Kim Fadi N. Joudi |
| author_facet | Ronald J. Kim Fadi N. Joudi |
| author_sort | Ronald J. Kim |
| collection | DOAJ |
| description | We report a case of 61-year-old male who presented with chyluria after partial nephrectomy. During workup for appendicitis, an incidental exophytic renal mass was revealed on CT scan. The patient ultimately underwent uncomplicated open partial nephrectomy. Postoperatively, his JP drain output turned milky white with urine remaining clear. JP fluid analysis was consistent with lymph. At 3 weeks postsurgery, his drain output decreased, but his urine turned milky white. Urinalysis confirmed fat in the urine. CT imaging revealed chyloma/urinoma with extravasation. The patient was initially treated conservatively, with a medium-chain fatty acid diet and then ureteral stenting. His stent was eventually removed and his chlyuria resolved 14 weeks later. |
| format | Article |
| id | doaj-art-4e1f28415ffc4087a76df6c7e1121951 |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-4e1f28415ffc4087a76df6c7e11219512025-02-03T05:50:16ZengWileyThe Scientific World Journal1537-744X2009-01-0191410.1100/tsw.2009.5Chyluria after Partial Nephrectomy: Case Report and Review of the LiteratureRonald J. Kim0Fadi N. Joudi1Department of Urology, University of Iowa, Iowa City, IA, USADepartment of Urology, University of Iowa, Iowa City, IA, USAWe report a case of 61-year-old male who presented with chyluria after partial nephrectomy. During workup for appendicitis, an incidental exophytic renal mass was revealed on CT scan. The patient ultimately underwent uncomplicated open partial nephrectomy. Postoperatively, his JP drain output turned milky white with urine remaining clear. JP fluid analysis was consistent with lymph. At 3 weeks postsurgery, his drain output decreased, but his urine turned milky white. Urinalysis confirmed fat in the urine. CT imaging revealed chyloma/urinoma with extravasation. The patient was initially treated conservatively, with a medium-chain fatty acid diet and then ureteral stenting. His stent was eventually removed and his chlyuria resolved 14 weeks later.http://dx.doi.org/10.1100/tsw.2009.5 |
| spellingShingle | Ronald J. Kim Fadi N. Joudi Chyluria after Partial Nephrectomy: Case Report and Review of the Literature The Scientific World Journal |
| title | Chyluria after Partial Nephrectomy: Case Report and Review of the Literature |
| title_full | Chyluria after Partial Nephrectomy: Case Report and Review of the Literature |
| title_fullStr | Chyluria after Partial Nephrectomy: Case Report and Review of the Literature |
| title_full_unstemmed | Chyluria after Partial Nephrectomy: Case Report and Review of the Literature |
| title_short | Chyluria after Partial Nephrectomy: Case Report and Review of the Literature |
| title_sort | chyluria after partial nephrectomy case report and review of the literature |
| url | http://dx.doi.org/10.1100/tsw.2009.5 |
| work_keys_str_mv | AT ronaldjkim chyluriaafterpartialnephrectomycasereportandreviewoftheliterature AT fadinjoudi chyluriaafterpartialnephrectomycasereportandreviewoftheliterature |