Atypical Presentation of Chyluria in Filarial Infection in a Child

Chyluria is the presence of chyle in the urine. Chylus urine is the only presentation at the onset. The manifestation is due to the abnormal communication between the renal tract and lymphatic channels. The most common cause of chyluria is lymphatic filariasis. We present a case of  12 years old boy who presented with mild pain abdomen and milky urine of two months duration .The child underwent a battery of investigations like plain radiography, ultrasound, Magnetic Resonance Urography (MRU) and Computed Tomography Urography (CTU) to establish the diagnosis. The renaolymphatic communication was confirmed by a 99 m technetium sulphar colloid lymphocintigraphy .The patient was treated with Global Programm Lymphatic Filariasis (GPLEF) with the satisfactory outcome. There is great role of cross sectional and associated  modalities to come to the conclusion of the diagnosis for the cases where the symptomatology remain unclear.