Steinstrasse

Case contributed by Dr Ian Bickle

Presentation

Patient presented with right-sided renal colic.

Patient Data

Age: 65 years
Gender: Female
X-ray

Bilateral lower pole renal calculi and a huge burden of calculi within the mid right ureter - Steinstrasse

Case Discussion

This is an extreme example of steinstrasse - literally meaning a street of stones in German.  It looks just like a cobblestone path.  The ureter has numerous small calculi one on top of the other to give this appearance.

Related article: steinstrasse, urolithiasis

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