Management of A Chyluria: About A Case and Review of The Literature

Chyluria is the passage of the lymph in the urine. It appears to be secondary to the rupture of the retroperitoneal lymphatic vessels in the pyelocaliceal system, giving the urine a milky appearance. This condition, if left untreated, causes significant morbidity due to haemato-chyluria, recurrent renal colic, acute urinary retention, nutritional problems due to protein loss and resulting immunosuppression due to lymphocyturia. Chyluria can be classified into mild, moderate or severe. Its treatment comprises 3 components depending on the severity of the disease: conservative medical treatment, sclerotherapy by intrarenal pelvic instillation of sclerosing agents and surgical treatment.In our work, we present a case of bilateral chyluria treated by transperitoneal laparoscopic nephrolysis and at the same time discuss the epidemiological, physiopathological, diagnostic and therapeutic characteristics of chyluria.