A Patient with Milky Urine: Nonparasitic Chyluria and Silver Nitrate Sclerotherapy

Abstract EN

Chyluria has become a rare clinical presentation in Sri Lanka, which may have a direct correlation with the low prevalence of lymphatic filariasis following the use of diethylcarbamazine and albendazole mass drug administration (MDA) for five rounds between 2002 and 2006.

Here we report a 50-year-old male who presented with milky urine and progressive weight loss, diagnosed as having nonparasitic chyluria.

The patient was initially managed with a trail of diethylcarbamazine (DEC) 6 mg/kg/day for 21 days and a low-fat diet with an unsatisfactory response.

Subsequent management with endoscopic instillation of 0.5% silver nitrate brought in him a quick response, which was maintained for a year.

Endoscopic sclerotherapy is considered a safer, effective and a minimally invasive treatment option for symptomatic patients.