Steinstrasse

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

A patient known to have left renal stone, underwent ESWL. Now severe left renal colic.

Patient Data

Age: 40 years
Gender: Male
x-ray

Left renal stone is noted, with multiple small stones aligned in the lower portion of the left ureter. (Steinstrasse)

Case Discussion

Steinstrasse or stone street, describing a complication of extracorporeal shock wave lithotripsy (ESWL) for urinary tract calculi, wherein a column of stone fragments forms that blocks the ureter.

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