Magnetic resonance-retrograde pyelography: A novel technique for evaluation of chyluria

Indian J Urol. 2014 Jan;30(1):115-6. doi: 10.4103/0970-1591.124221.


There are no standardized radiological investigations in a patient with chyluria. Retrograde pyelography (RGP) is usually done to demonstrate pyelo-lymphatic reflux before invasive therapy in the form of sclerotherapy and surgery. We describe magnetic resonance-RGP using gadolinium to demonstrate pyelo-lymphatic reflux in addition to the other intra-abdominal details provided by MRI. The advantages of this technique include avoidance of ionic contrast media and radiation exposure and possibility of better understanding of the disease pathophysiology.

Keywords: Chyluria; gadolinium; magnetic resonance imaging.

Publication types

  • Case Reports