ABSTRACT
Chyluria is an abnormal condition in which chyle appears in the urine because of a fistulous communication between the lymphatics and the urinary tract. It is not life-threatening and spontaneous regression is reported in 50% of cases. Lymphangiography has been the main imaging modality for localization of the site of fistula, but it is invasive and requires expertise. Lymphoscintigraphy using Tc-99m labelled colloid is a safe, non-invasive, reproducible technique, which bears less radiation exposure. A 67-year-old male presented with 7-month history of chyluria following a spinal surgery. Bilateral lower limb lymphoscintigram revealed sluggish lymph flow in the left lower limb and visualization of tracer in the left kidney consistent with lymphorenal fistula. Subsequent cystography revealed appearance of chylous urine from left ureter. Patient refused surgery.
Subject(s)
Chyle , Technetium , Urinary Fistula/diagnostic imaging , Urologic Diseases/diagnostic imaging , Aged , Humans , Lymphatic System/pathology , Lymphography , Male , Radionuclide Imaging , Radiopharmaceuticals , Urinary Fistula/complications , Urinary Fistula/diagnosis , Urine , Urologic Diseases/diagnosis , Urologic Diseases/etiologyABSTRACT
Isolated involvement of the thyroid by tuberculosis is very rare as reported in literature. We are presenting a case of isolated tuberculous thyroiditis presented as a solitary thyroid nodule. The patient was treated with anti-tuberculous regimen and he responded well with disappearance of the nodule and normalization of the thyroid scan.
