Presentation
History of renal ablation
Patient Data
Age: Adult
Gender: Male
From the case:
Chyluria following renal ablation
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Nutmeg liver due to congestion. Edema surrounding gallbladder.
Right nephrectomy. Left renal microwave ablation defects x 2. No metastases.
Right posterior flank hernia.
Fat/fluid level in the urinary bladder.
Case Discussion
This patient had microwave ablation x 2 of the left kidney and has a fat-fluid level in the urinary bladder indicating chyluria.
Chyluria has been described following thermal ablation of the kidney which is thought to result in abnormal connection of the renal lymphatics to the collecting system. It can range from clinically silent to symptomatic.