Chyluria as a Rare Delayed Complication Following Kidney- Sparing Resection of Accidentally Diagnosed Clear Cell Carcinoma

Authors

  • Agnieszka Bartos Faculty of Medical and Health Sciences, Kazimierz Pulaski University of Radom
  • Karolina Sawicka Faculty of Medical and Health Sciences, Kazimierz Pulaski University of Radom
  • Krzysztof Batycki Faculty of Medical and Health Sciences, Kazimierz Pulaski University of Radom

DOI:

https://doi.org/10.3941/jrcr.5982

Abstract

We present a rare case of delayed-onset chyluria caused by a lymphatic-urinary fistula following kidney-sparing surgery for renal cell carcinoma. The patient remained asymptomatic, and the diagnosis was made incidentally on CT, which revealed a fat-fluid level within the bladder. This case highlights the importance of considering iatrogenic lymphatic leakage in patients with history of renal surgery and underlines the diagnostic value of imaging in detecting subclinical uro-lymphatic fistulas and guiding appropriate management.

A 59-year-old male patient undergoing abdominal and pelvic CT (30/04/2024).

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Published

2026-03-31

Issue

Section

Genitourinary Radiology