Treatment of Chyluria and Chylothorax with Medium-Chain Triglyceride

Abstract

THE patient with chyluria offers an unusual opportunity for the study of fat absorption. Within a few hours after ingestion of a meal in which fat is present such a person often will pass milkyappearing urine containing a portion of the chyle that normally would have entered the systemic circulation via the thoracic duct.Apart from the underlying process, chyluria per se can cause serious difficulties for the patient such as dysuria, hematuria and proteinuria. These complications may result in prolonged suffering, anemia and hypoproteinemia. Sometimes, chyluria is amenable to surgical or pharmacologic treatment, or the use of an abdominal . . .