Evidence map›Paper›PMID 40585919›Full record

ArticleJournal of surgical case reports2025

Spontaneous steinstrasse-a rare clinical case report.

Nikolay Dimov, Evelina Valcheva, Marina Vaysilova, Elizabet Artinyan

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Nikolay DimovClinic of Nephrology, UMHAT "Sveti Georgi", 15 Vasil Aprilov Blvd, Plovdiv 4002, Bulgaria.
Evelina ValchevaClinic of Nephrology, UMHAT "Sveti Georgi", 15 Vasil Aprilov Blvd, Plovdiv 4002, Bulgaria.
Marina VaysilovaClinic of Nephrology, UMHAT "Sveti Georgi", 15 Vasil Aprilov Blvd, Plovdiv 4002, Bulgaria.
Elizabet ArtinyanClinic of Nephrology, UMHAT "Sveti Georgi", 15 Vasil Aprilov Blvd, Plovdiv 4002, Bulgaria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The term "steinstrasse" 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.

Identifiers

PMID40585919
PMCPMC12203797

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.