title: [A rare cause of nephrotic syndrome in a young woman with flank pain, milky urine and leukocyturia].
abstract: A 27 year old patient presented with a sudden acute illness showing right flank pain, milky urine, nephrotic range proteinuria, erythrocyturia and leukocyturia in the urinary sediment with a negative leukocyte test stick. The proof of a pronounced hypertriglyceriduria led to the diagnosis of Chyluria. The lymphangiogram confirmed the presence of a retroperitoneal lymphatic dysplasia with evidence of communication with the right renal pelvis on the CT-lymphogram. Chyluria is generally the result of parasitic infection and is extremely rare in Europe. In the presence of symptoms including milky urine, proteinuria and leukocyturia in the urinary sediment and a negative urine leukocyte stick test and absence of infectious signs, chyluria must be suspected. The diagnosis should be substantiated through proof of hypertriglyceriduria and confirmed by lymphangiography.
authors.affiliation: Nephrologische Abteilung, Spitalzentrum Biel.
authors.forename: Z
authors.initials: Z
authors.lastname: Glück
authors.forename: S
authors.initials: S
authors.lastname: Rüegger
authors.forename: T
authors.initials: T
authors.lastname: Sulser
mesh_terms: D000208:Acute Disease; D000328:Adult; D002913:Chyle; D005260:Female; D006801:Humans; D006937:Hypercholesterolemia / Q000150:complications; D008206:Lymphatic Diseases / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D008220:Lymphography; D009404:Nephrotic Syndrome / Q000209:etiology* / Q000652:urine; D010146:Pain / Q000209:etiology; D011507:Proteinuria / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014280:Triglycerides / Q000652:urine; D014556:Urine
chemical_list: D014280:Triglycerides