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İntermitan Şilüri: Olgu Sunumu

Intermittent Chyluria: Case Report

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2005

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Chyluria is defined as the presence of lymph in the urine and is rare except in the areas of the world where filariasis is endemic. An abnormal communication or fistula is formed between the renal lymphatic system and urinary collecting system due to high intralymphatic pressure caused by an obstruction. This obstruction may be congenital or acquired. A twenty-nine-year-old woman presented with a complaint of milky urine lasted for 18 months intermittently that exacerbates and resolves spontaneously. Chemical analysis of urine sampled in the morning sho¬ wed triglyceride levels of 778 mg/dl, protein levels of 396 mg/dl. Triglyceride level of the urine sampled in the afternoon was 82 mg/dl, and protein level was 4 mg/dl. This prominent hypertriglyceriduria led to the diagnosis of chyluria. During the follow-up period of the patient, chyluria resolved. Chyluria is not commonly seen in non-endemic areas so this case was found to be interesting and has been reported.
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Abstract (Original Language): 
Lenfatik sıvının idrara karışması şeklinde tanımlanan şilüri nadir görülen bir durumdur. Konjenital veya kazanılmış nedenlerle ortaya çıkan bir tıkanma sonucu lenfatik sistemde basınç artar, böylece renal lenfatik sistem ile pelvikalisiyel sistem arasında fistül oluşur. Yirmi dokuz yaşındaki kadın hasta, bulanık ve süt renginde idrar yapma yakınmasıyla başvurdu. Öyküsünden bu yakınmasının 1.5 yıldır olduğu ve belirli aralıklarla ortaya çıktığı öğrenildi. Olgunun sabah idrar analizinde; trigliserid 778 mg/dl, protein 396 mg/dl, öğleden sonraki idrar analizinde ise trigliserid 82 mg/dl, protein 4 mg/dl saptandı. Bu bulgularla şilüri tanısı alan olgumuzda, izlemde şilüri kayboldu. Şilüri endemik bölgeler dışında nadir görüldüğü için, bu olgu da ilginç bulunarak sunulmuştur.
FULL TEXT (PDF): 
PDF icon pdf_tndt_537.pdf
  • 3
140-142
  • Turkish

REFERENCES

References: 

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