Bilateral excision of perinephric fat and fascia (Gerota's fasciectomy) in the treatment of intractable chyluria.
A case is described of a 59-year-old black man with massive chyluria, probably due to previous infection with Wuchereria bancrofti. Notably, no edema was present despite a urinary protein loss of 40 gm. per day resulting in a serum albumin level of 13 gm./l. Conservative treatment after lymphography, including prolonged bedrest and a medium chain triglyceride diet, was unsuccessful. Bilateral excision of the perinephric fascia and fat (Gerota's fasciectomy) in 2 separate operative sessions finally resulted in complete resolution of the chyluria.
Department of Medicine, Free University Hospital, Amsterdam, The Netherlands.
M O
MO
Pool
K G
KG
van der Hem
H V
HV
Stel
W J
WJ
Luth
F M
FM
Rasker
R O
RO
Gans
D000273:Adipose Tissue / Q000601:surgery*; D000818:Animals; D001706:Biopsy; D002913:Chyle; D004605:Elephantiasis, Filarial / Q000150:complications / Q000601:surgery; D000071938:Fasciotomy; D006801:Humans; D007668:Kidney / Q000473:pathology; D008297:Male; D008875:Middle Aged; D014556:Urine; D014958:Wuchereria bancrofti