Related Experiment Video
Updated: Sep 17, 2025

Clinical Assessment of Spatiotemporal Gait Parameters in Patients and Older Adults
Published on: November 7, 2014
Spontaneous steinstrasse-a rare clinical case report
Nikolay Dimov1,2, Evelina Valcheva1, Marina Vaysilova1,2
1Clinic of Nephrology, UMHAT "Sveti Georgi", 15 Vasil Aprilov Blvd, Plovdiv 4002, Bulgaria.
Abstract:
The term "steinstrasse" was first introduced by Egbert Schmiedt and Christian Chaussy in the 1980s to describe stone accumulation in the ureter following extracorporeal shock wave lithotripsy. Clinically, patients present with lumbar pain, nausea/vomiting, and lower urinary track symptoms. Severe cases may lead to obstruction or sepsis. It is observed mostly in patients who have undergone extracorporeal shock wave lithotripsy, but in rare cases it can occur spontaneously. Spontaneous formation of steinstrasse is a rare phenomenon with only several cases reported in literature so far and for that reason there are no standard protocols for the management of such patients. Various factors need to be taken into account when choosing the optimal therapeutic strategy. We present a rare clinical case of idiopathic spontaneously occurring steinstrasse. We will discuss the clinical course, the diagnostic algorithm, and the therapeutic approach.
Related Concept Videos
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Esophageal Strictures-I: Introduction
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Mitral Stenosis II: Clinical features and Diagnostic Tests
Mitral Stenosis I: Introduction
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

