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Spontaneous steinstrasse: A case report and literature review
Clotaire Alexis Marie Kiemdiba Donega Yaméogo1, Moussa Kaboré2, Hassami Sawadogo3
1Division of Urology, Yalgado Ouédraogo University Teaching Hospital, Ouagadougou, Burkina Faso.
None:
Spontaneous steinstrasse without prior lithotripsy is rare. A 45-year-old male with history of urinary bilharziasis presented with bilateral renal colic. CT scan revealed multiple bilateral renal calculi and a left pelvic ureteral stone cluster measuring 22 × 44 mm. Open surgery retrieved 207 stones from left ureter and 34 from left kidney, requiring ureteral reimplantation. Right ureterolithotomy with resection of bilharzial stenosis was performed. This case is unique for the unprecedented number of stones retrieved and the identification of urinary bilharziasis as underlying etiology, never previously reported. Open surgery remains valuable when endoscopic options are unavailable or complex reconstruction is needed.
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