title: Bilateral spontaneous steinstrasse and nephrocalcinosi associated with distal renal tubular acidosis.
abstract: Bilateral spontaneous steinstrasse from the ureteropelvic junction to the distal ureter complicating distal renal tubular acidosis has not been described. We report a case and discuss the clinical presentation, radiographic and metabolic findings, and treatment. Relief of obstructive uropathy with extracorporeal shock wave lithotripsy led to the resolution of the heavy steinstrasse burden.
authors.affiliation: Department of Surgery, University of North Carolina School of Medicine, Chapel Hill.
authors.forename: J G
authors.initials: JG
authors.lastname: Van Savage
authors.forename: F A
authors.initials: FA
authors.lastname: Fried
mesh_terms: D000141:Acidosis, Renal Tubular / Q000150:complications*; D000328:Adult; D006801:Humans; D007669:Kidney Calculi / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D007686:Kidney Tubules, Distal; D008096:Lithotripsy; D008297:Male; D011859:Radiography; D014514:Ureteral Calculi / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy