Steinstrasse

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Left flank pain. Post extracorporeal shock wave lithotripsy (ESWL) control CT.

Patient Data

Age: 45 years
Gender: Male

KUB

x-ray

Several small fragmented stones aligned in the lower portion of the left ureter, resembling Steinstrasse. Additionally, a few small adjacent stones are depicted in the lower part of the left renal lodge.

Case Discussion

This case demonstrates Steinstrasse, or stone street, a complication of extracorporeal shock wave lithotripsy (ESWL) for urinary tract calculi, wherein a column of stone fragments forms that blocks the ureter. The most common site of the column of stone fragments obstruction is the distal ureter.

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