{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:59Z","timestamp":1753877219421,"version":"3.41.2"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T00:00:00Z","timestamp":1750982400000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The term \u201csteinstrasse\u201d 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.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf455","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T13:39:38Z","timestamp":1751031578000},"source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous steinstrasse\u2014a rare clinical case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Nikolay","family":"Dimov","sequence":"first","affiliation":[{"name":"Clinic of Nephrology, UMHAT \u201cSveti Georgi\u201d , 15 Vasil Aprilov Blvd, Plovdiv 4002 ,","place":["Bulgaria"]},{"name":"Second Department of Internal Diseases, Section of Nephrology, Medical University of Plovdiv , 15 Vasil Aprilov Blvd, Plovdiv 4002 ,","place":["Bulgaria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evelina","family":"Valcheva","sequence":"additional","affiliation":[{"name":"Clinic of Nephrology, UMHAT \u201cSveti Georgi\u201d , 15 Vasil Aprilov Blvd, Plovdiv 4002 ,","place":["Bulgaria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina","family":"Vaysilova","sequence":"additional","affiliation":[{"name":"Clinic of Nephrology, UMHAT \u201cSveti Georgi\u201d , 15 Vasil Aprilov Blvd, Plovdiv 4002 ,","place":["Bulgaria"]},{"name":"Second Department of Internal Diseases, Section of Nephrology, Medical University of Plovdiv , 15 Vasil Aprilov Blvd, Plovdiv 4002 ,","place":["Bulgaria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabet","family":"Artinyan","sequence":"additional","affiliation":[{"name":"Clinic of Nephrology, UMHAT \u201cSveti Georgi\u201d , 15 Vasil Aprilov Blvd, Plovdiv 4002 ,","place":["Bulgaria"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,6,27]]},"reference":[{"key":"2025062709393374600_ref1","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1016\/s0022-5347(17)53841-0","article-title":"First clinical experience with extracorporeally induced destruction of kidney stones by shock waves","volume":"127","author":"Chaussy","year":"1982","journal-title":"J Urol"},{"key":"2025062709393374600_ref2","doi-asserted-by":"publisher","first-page":"2204","DOI":"10.1007\/s00261-017-1416-9","article-title":"\u2018Stone street\u2019 ureter","volume":"43","author":"Sullere","year":"2018","journal-title":"Abdom Radiol (NY)"},{"key":"2025062709393374600_ref3","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1159\/000472910","article-title":"The steinstrasse: a legacy of extracorporeal lithotripsy?","volume":"14","author":"Coptcoat","year":"1988","journal-title":"Eur Urol"},{"key":"2025062709393374600_ref4","doi-asserted-by":"publisher","first-page":"bcr2018225578","DOI":"10.1136\/bcr-2018-225578","article-title":"Unusual cause of obstructive uropathy: bilateral steinstrasse","volume":"2018","author":"Garg","year":"2018","journal-title":"BMJ Case Rep"},{"key":"2025062709393374600_ref5","doi-asserted-by":"publisher","first-page":"46","DOI":"10.4103\/0970-1591.37124","article-title":"The steinstrasse: a legacy of extracorporeal lithotripsy","volume":"20","author":"Mahmood","year":"2003","journal-title":"Indian J Urol"},{"key":"2025062709393374600_ref6","doi-asserted-by":"publisher","first-page":"rjy252","DOI":"10.1093\/jscr\/rjy252","article-title":"Spontaneous resolution of a spontaneous steinstrasse: a case report","volume":"2018","author":"Tezcan","year":"2018","journal-title":"J Surg Case Rep"},{"key":"2025062709393374600_ref7","doi-asserted-by":"publisher","first-page":"1251","DOI":"10.1093\/ndt\/15.8.1251","article-title":"Steinstrasse due to distal renal tubular acidosis with sensorineural deafness","volume":"15","author":"Peces","year":"2000","journal-title":"Nephrol Dial Transplant"},{"key":"2025062709393374600_ref8","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1016\/s0022-5347(17)35516-7","article-title":"Bilateral spontaneous steinstrasse and nephrocalcinosi associated with distal renal tubular acidosis","volume":"150","author":"Van Savage","year":"1993","journal-title":"J Urol"},{"key":"2025062709393374600_ref9","doi-asserted-by":"publisher","first-page":"150","DOI":"10.5222\/terh.2017.150","article-title":"The development of spontaneous steinstrasse in patient with nephrocalcinosis: case report","volume":"27","author":"Y\u00fccel","year":"2017","journal-title":"Anatol J Gen Med Res"},{"volume-title":"Nutritional and Medical Management of Kidney Stones. Nutrition and Health","author":"Yamout","key":"2025062709393374600_ref10","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-15534-6_3"},{"key":"2025062709393374600_ref11","doi-asserted-by":"publisher","first-page":"675","DOI":"10.1046\/j.1464-4096.2001.02435.x","article-title":"Steinstrasse after extracorporeal shockwave lithotripsy: aetiology, prevention and management","volume":"88","author":"Sayed","year":"2001","journal-title":"BJU Int"},{"key":"2025062709393374600_ref12","doi-asserted-by":"publisher","first-page":"E837","DOI":"10.5489\/cuaj.3483","article-title":"CUA guideline: management of ureteral calculi","volume":"9","author":"Ordon","year":"2015","journal-title":"Can Urol Assoc J"},{"author":"Skolarikos","key":"2025062709393374600_ref13"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/6\/rjaf455\/63607149\/rjaf455.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/6\/rjaf455\/63607149\/rjaf455.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T13:39:38Z","timestamp":1751031578000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf455\/8176657"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,31]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf455","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,6]]},"published":{"date-parts":[[2025,5,31]]},"article-number":"rjaf455"}}