Rare Case of Non-Parasitic Chyluria in Pediatric population treated with dietary modification in a Four-year-old Male Child

ABSTRACT

Chyluria is the passage of milky urine composed of albumin, chylomicron, and fibrin in various proportions due to the leakage of lymph into the urinary tract as a result of communication between the lymphatics and the urinary system. Intermittent mild proteinuria and hematuria may be found at routine urinalysis, The conventional diagnostic approach involves confirmation of chyle in urine and the demonstration of lymphaticourinary fistulae by radiological study. It occurs predominantly in adults and is rare in children, We present an unusual case of a four-year-old male child with proteinuria, hematuria and milky urine which was subsequently diagnosed as idiopathic non-parasitic chyluria with spontaneous remission. The child recovered with dietary management for about five weeks after starting a low-fat, high-fiber diet