{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:10:05Z","timestamp":1756379405056,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2018,12,23]]},"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>The genitourinary system for reasons unknown is more likely to have birth defects than any other system. The anomaly of collecting system draining the kidney represent mystifying subset of congenital anomalies. Pelviureteric junction obstruction (PUJO) is most common. Chronic obstruction can lead to stasis, urinary infection and stone formation in PUJO. Extrarenal calyces, which is characterised by presence of calyces and renal pelvis outside the renal parenchyma is one of the rare anomalies seen among the collecting system right gonadal vein drains into inferior vena cava. Its altered drainage into right renal vein is rarely seen and reported. Glut of these multiple anomalies in a single case is an extremely rare event. We hereby discuss a case of 40-year-old male patient with combination of all these anomalies and discuss the embryology, presentation and management.<\/jats:p>","DOI":"10.1136\/bcr-2018-228684","type":"journal-article","created":{"date-parts":[[2019,1,29]],"date-time":"2019-01-29T05:15:08Z","timestamp":1548738908000},"page":"bcr-2018-228684","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Rare case with plethora of upper urinary tract anomalies associated with pelviureteric junction obstruction: a surgical challenge managed with robot assistance"],"prefix":"10.1136","volume":"12","author":[{"given":"Kalpesh Mahesh","family":"Parmar","sequence":"first","affiliation":[{"name":"Department of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shantanu","family":"Tyagi","sequence":"additional","affiliation":[{"name":"Department of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shrawan kumar","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3996-6561","authenticated-orcid":false,"given":"Gopal","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,1,28]]},"reference":[{"key":"2025082803392145000_12.1.bcr-2018-228684.1","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/S0022-5347(17)73548-3","article-title":"Report of case of hydronephrosis in a kidney with extrarenal calyces","volume":"13","author":"Eisendrath","year":"1925","journal-title":"J Urol"},{"key":"2025082803392145000_12.1.bcr-2018-228684.2","first-page":"392","article-title":"Renal dysplasia with extrarenal calyces","volume":"27","author":"Taha","year":"2006","journal-title":"Saudi Med J"},{"key":"2025082803392145000_12.1.bcr-2018-228684.3","first-page":"823","article-title":"Extrarenal calyces: their relationship to renal disease","volume":"86","author":"Malament","year":"1961","journal-title":"Am J Roentgenol Radium Ther Nucl Med"},{"key":"2025082803392145000_12.1.bcr-2018-228684.4","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1016\/S0022-5347(17)71289-X","article-title":"The renal vascular pedicle: anatomical study of 430 body halves","volume":"44","author":"Pick","year":"1940","journal-title":"J Urol Balt"},{"key":"2025082803392145000_12.1.bcr-2018-228684.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0940-9602(01)80064-9"},{"key":"2025082803392145000_12.1.bcr-2018-228684.6","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1159\/000072690","article-title":"Extrarenal calyces: a rarity","volume":"71","author":"Garg","year":"2003","journal-title":"Urol Int"},{"key":"2025082803392145000_12.1.bcr-2018-228684.7","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1089\/end.2006.20.188","article-title":"Case report: transmesocolic laparoscopic reconstruction of ureteropelvic junction obstruction in pelvic kidney associated with extrarenal calices","volume":"20","author":"Wadhwa","year":"2006","journal-title":"J Endourol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-228684","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:39:30Z","timestamp":1756377570000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-228684"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,1,28]]},"published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1136\/bcr-2018-228684"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-228684","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,1]]}}}