Ruptured lymphatic vessels

Introduction Lymphatic rupture: When the human body suffers from filariasis, it causes lymphatic inflammation and thickens the wall. The lymphatic vessels from the intestinal trunk to the thoracic duct are dilated, and the valvular insufficiency of the valve is dysfunctional and causes dysfunction. The fluid is blocked, the pressure in the lymphatic vessels is increased, and the rupture occurs at the weakest point. A common site of rupture is at the renal pelvis and can produce pyelonephritis.

Cause

Lymphatic lesions caused by various causes, causing mechanical or dynamic obstruction of lymphatic vessels, increased pressure in the proximal lymphatic vessels, rupture of lymphatic vessels under the mucosa of the renal pelvis to produce renal pelvis-lymphatic sputum, and chyle into the urine to form chyle Pee. In addition to filariasis, other parasites such as hydatid, malaria parasites, hookworms, trichomoniasis, etc. can also cause lymphatic lesions and produce chyluria.

an examination

Related inspection

Urinary routine blood routine chyle urinary urinary urinary tract qualitative test lymphocyte count

The location of urinary lymphatic rupture is most common in the renal pelvis (because the lymphatic vessels of the kidney are the most vulnerable), followed by the ureter, and sometimes in the bladder, posterior urethra, etc.

When there is suspicion, it is recommended to check the blood routine, urine routine and B-ultrasound. In this case, most of the specific lesions can be identified. If necessary, perform MRI or angiography to determine the specific disease.

Differential diagnosis

Lymphatic rupture needs to be differentiated from the symptoms below.

1, cystoscopy and pyelography: during the chyluria episode, cystoscopy can be seen in the affected side of the ureteral sputum sputum, can also be from the bilateral ureteral intubation for chyluria test to determine the diagnosis. Occasionally, there are milk droplets on the bladder wall, which is caused by bladder lymph nodes. In retrograde pyelography, lymphatic reflux of the renal pelvis and renal pelvis is sometimes seen, but this cannot be used as a basis for the diagnosis of renal pelvis. Intravenous renal angiography is of no value in the diagnosis of chyluria.

2, lymphangiography: lymphatic angiography can be performed from the dorsal and spermatic lymphatic vessels, which is the most reliable method for locating chyluria. The presence of renal pelvis and lymph nodes can be found in both the attack and the intermittent period, and the lesion can be determined.

3, lymphangiography of patients with chyluria:

Often visible:

1 lesion lymphatic vessels dilated, thickened, tortuous or reticular changes.

2 The formation of lymphatic vessels - renal pelvis causes partial development of renal pelvis and renal pelvis.

3 Most patients have no dilatation or obstruction of the thoracic duct, and the lower end is often not developed. The chyle pool can generally be seen at the T11-L2 level.

4 Traffic branches are seen between the bilateral retroperitoneal lymphatic vessels.

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