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Pediatric Nephrology

, Volume 27, Issue 11, pp 2051–2052 | Cite as

“Strawberry wees forever?”: Answers

  • Bernward HinkesEmail author
  • Kerstin Benz
  • Julia Köhler
  • Wolfgang Rascher
  • Karin Hirsch
Clinical Quiz
  • 147 Downloads

Answers

  1. 1.

    Chyluria, the loss of chyle via the urinary tract, is a rare condition among children.

     
  2. 2.

    Non-parasitic forms of childhood chyluria are predominantly observed in Western countries.

     
  3. 3.

    Consistent with chyle leakage from the upper urinary tract or bladder the T2-sequence of the magnetic resonance tomography (MRT)–urography showed a ventral hypointense chyluric layer on top of the hyperintense urine. We then performed a cystoscopy, the leading diagnostic intervention in childhood chyluria, in order to locate a fistula between the lymphatic and urinary system.

     

Discussion

Chyluria, the loss of chyle via the urinary tract, is a rare condition among children [1, 2, 3]. While parasitic tropical infections, in particular lymphatic filariasis caused by Wuchereria banchrofti, represent the major cause of chyluria, rarer non-parasitic forms prevail in Western countries [4]. Classically, chyluria presents as a loss of milky urine, rich in triglycerides, chylomicrons, and albumin,...

Keywords

“Strawberry yoghurt-like” urine MR–urography Urinary tract 

Supplementary material

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Copyright information

© IPNA 2012

Authors and Affiliations

  • Bernward Hinkes
    • 1
    Email author
  • Kerstin Benz
    • 1
  • Julia Köhler
    • 2
  • Wolfgang Rascher
    • 1
  • Karin Hirsch
    • 3
  1. 1.Department of PediatricsFriedrich-Alexander-UniversityErlangenGermany
  2. 2.Department of RadiologyFriedrich-Alexander-UniversityErlangenGermany
  3. 3.Department of Pediatric UrologyFriedrich-Alexander-UniversityErlangenGermany

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