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Steinstrasse

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Acute left flank pain with fever. Tender left flank.

Patient Data

Age: 40 years
Gender: Female
x-ray

Four stones measuring up to 5 mm in the distal left ureter at and just proximal to the vesicoureteral junction.

No right-sided stones.

Case Discussion

An example of steinstrasse with multiple stones stacked up in the distal left ureter.

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