{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:59:06Z","timestamp":1753887546758,"version":"3.41.2"},"reference-count":10,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,12,1]]},"abstract":"<jats:p>An otherwise healthy, 10-year-old boy presented with chronic, gross hematuria. This persisted daily for 5 years despite extensive multidisciplinary workup with renal biopsy and resulted in severe iron deficiency anemia. The extensive workup and requirement for routine follow-up, investigations, and procedures led to significant psychosocial distress for the patient. Initially, it was thought the patient had a nutcracker phenomenon, but on closer inspection of his ureters, an idiopathic, unilateral ureteric stricture was discovered and, after 8 weeks of stenting, resulted in complete resolution of the hematuria. Importantly, the patient\u2019s psychosocial distress resolved after resolution of the hematuria and with the closure that came with a diagnosis.<\/jats:p>","DOI":"10.1542\/peds.2019-2549","type":"journal-article","created":{"date-parts":[[2019,11,15]],"date-time":"2019-11-15T13:25:11Z","timestamp":1573824311000},"source":"Crossref","is-referenced-by-count":0,"title":["Chronic, Gross Hematuria Caused by Idiopathic Ureteric Stricture"],"prefix":"10.1542","volume":"144","author":[{"given":"Robert L.","family":"Myette","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Queen\u2019s University at Kingston Health Science Centre, Kingston, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Acker","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Queen\u2019s University at Kingston Health Science Centre, Kingston, Ontario, 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