Presentation
Known history of renal stone diease. New left flank pain.
Patient Data
Age: 50 years
Gender: Male
From the case:
Steinstrasse
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Small volume bilateral renal stone disease, the largest 5 mm in the left lower pole.
A series of small stones in the right side of the pelvis in an arc-like fashion down to the vesicoureteric junction.
From the case:
Steinstrasse
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The series of stones in the distal right ureter (blue arrows) in keeping with steinstrausse.
Case Discussion
Stones which accumulate back-to-back, typically in the distal ureter. The German term steinstrausse is apportioned to this appearance.