https://scholars.lib.ntu.edu.tw/handle/123456789/553322
標題: | Cyst-like chylous coagulum in the urinary bladder of a patient with recurrent chyluria | 作者: | JU-TON HSIEH HONG-CHIANG CHANG Law H.-S. CHIA-TUNG SHUN |
公開日期: | 1999 | 卷: | 98 | 期: | 8 | 起(迄)頁: | 586-588 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | We report a rare case of recurrent chyluria in a 64-year-old man, who had undergone sclerosing therapy for chyluria with complete remission 40 years previously. The chyluria recurred 4 months before the present hospital admission. The patient presented with acute urine retention and weight loss of 6 kg during the past 6 months. Urine biochemistry studies showed elevated concentrations of albumin (0.7 g/dL), globulin (0.6 g/dL), cholesterol (0.59 mmol/L), and triglyceride (0.89 mmol/L), confirming the diagnosis of chyluria. Intravenous urography showed a substantial filling defect in the urinary bladder. Cystoscopy revealed milky urine flowing out of the right ureteral orifice, and a large chylous coagulum presenting as a cyst-like mass in the urinary bladder. The chyluria was successfully treated with sclerosing therapy with injection of 76% Urografin (Shering AG, Berlin, Germany) into the right upper urinary tract, and the chylous coagulum was evacuated endoscopically. No evidence of chyluria recurrence has been noted during a year of follow-up, and the patient has regained 6 kg of body weight. This particular presentation of chylous coagulum in a chyluria patient has not been previously reported in the literature. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/553322 | ISSN: | 0929-6646 | SDG/關鍵字: | cholesterol; meglumine diatrizoate; serum albumin; serum globulin; triacylglycerol; adult; article; bladder; case report; cholesterol blood level; chyle; chyluria; human; intravenous urography; male; recurrent disease; remission; sclerotherapy; treatment outcome; triacylglycerol blood level; urine retention; weight reduction; Chyle; Cystoscopy; Humans; Male; Middle Aged; Urinary Bladder; Urinary Bladder Diseases |
顯示於: | 法醫學科所 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。