Van Savage J G, Fried F A
Department of Surgery, University of North Carolina School of Medicine, Chapel Hill.
J Urol. 1993 Aug;150(2 Pt 1):467-8. doi: 10.1016/s0022-5347(17)35516-7.
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.
双侧自肾盂输尿管连接处至输尿管远端出现自发性铸型结石并伴有远端肾小管酸中毒的情况此前未见报道。我们报告了一例病例，并讨论了临床表现、影像学及代谢检查结果以及治疗情况。体外冲击波碎石术解除梗阻性尿路病后，铸型结石的严重负担得以消除。
