Abstract
A 4-year-old boy with an abdominal trauma had lipiduria following treatment with total intravenous nutrition for 4 days. Renal function was normal throughout the course and the lipiduria ceased after withdrawal of the intravenous nutrition. The lipids were possibly excreted through the kidneys or entered the urine through a traumatic communication between the lymphatic vessels and the urinary system. Control of renal function and lipiduria after 1 year revealed normal conditions. (Journal of Parenteral and Enteral Nutrition
Get full access to this article
View all access options for this article.
References
1.
Martin RS
,
Small DM
: Physicochemical characterization of the urinary lipid from humans with nephrotic syndrome . J Lab Clin Med
103 :798 -810 , 1984
2.
Braden GL
,
Sanchez PG
,
Fitzgibbons JP
, et al: Urinary doubly refractile lipid bodies in nonglomerular renal diseases . Am J Kidney Dis
11 :332 -337 , 1988
3.
Duncan KA
,
Cuppage FE
,
Grantham JJ
: Urinary lipid bodies in polycystic kidney disease . Am J Kidney Dis
5 :49 -53 , 1985
4.
Morton KS
: Fat embolism: Incidence of urinary fat in trauma . Can Med Assoc J
74 :441 -442 , 1956
5.
Scuderi CS
: Fat embolism . Surg Gynecol Obstet
72 :732 -746 , 1941
6.
Sevitt S.
: Fat embolism . Butterworths , London , 1962
7.
Musselman MM
,
Glas WW
,
Grekin TD
: Fat embolism: A clinical investigation . AMA Arch Surg
65 :551 , 1962
8.
Broder G.
: Quantitation and clinical significance of urinary fat . Lancet
26 :188 -189 , 1969
9.
Hupe K.
: Fluorescenzmikroskopische untersuchungen von blutausstrichen und urinproben nach intravenoeser fettinfusion . Langenbecks Arch Klin Chir
314 :48 -61 , 1966
10.
Bayer P.
,
Fuchs H.
,
Moerth C.
, et al: Lipide im harn . Winer Medizinische Wochenschrift
123 :73 -76 , 1973
11.
Thomas J.
,
Levillain P.
,
Thomas E.
, et al: Lipids in the urine after extracorporeal shock wave lithotripsy . Ann Urol
20 :349 -352 , 1986
12.
Llopis B.
,
Gallego J.
,
Cruz M.
, et al: Urinary lipids in vesical carcinoma: A new biological marker . Eur Urol
11 :121 -126 , 1985
13.
Yamauchi S.
: Chyluria: Clinical, laboratory and statistical study of 45 personal cases observed in Hawaii . J Urol
54 :318 -347 , 1945
14.
Mogg RA
,
Jones JH
: Nonparasitic chyluria . Br J Urol
42 :28 -34 , 1971
15.
Cole WG
: Urinary fat and fat embolism . Med J Aust
1 :1187 -1188 , 1973
16.
Hashim SA
,
Roholt HB
,
Babayan VK
, et al: Treatment of chyluria and chylothorax with medium-chain triglyceride . N Engl J Med
270 :756 -761 , 1964
17.
Wiggelinkhuizen J.
,
Landman C.
,
Greenberg E.
: Chyluria . Am J Dis Child
124 :99 -101 , 1972
18.
Ohyama C.
,
Saita H.
,
Miyasato N.
: Spontaneous remission of chyluria . J Urol
121 :316 -317 , 1979
19.
Craig O.
,
Woodroffe FJ
: Chyluria and lymphatic renal fistula . Clin Radiol
20 :465 -472 , 1969
20.
Yu HHY.
Leong CH
,
Ong GB
: Chyluria: Results of surgical treatment in 50 cases . J Urol
119 :104 -107 , 1978
