25-Year-Old Indian Medical Student studying from Russia with Pancreatic Necrosis Successfully Treated at Zen Multispeciality Hospital, Chembur
Mumbai: A team headed by Dr Roy Patankar, Director and Gastroenterologist, Zen Multispeciality Hospital, successfully treated a 25-year-old Indian medical student studying in Russia, who came to India for treatment of Pancreatic Necrosis and saved other organs from getting damaged. The patient has recovered well after complex surgery and has been discharged.
Harshal Shinde, a medical student in Russia was leading a normal life until he encountered severe unbearable abdominal pain going around the back, hyperacidity, and vomiting in August 2021. The pain was so intense that it affected his ability to do the daily chores. The patient couldn’t sit, stand, walk or even eat. To his dismay, the symptoms kept on worsening, his friends admitted him to a hospital. As per the diagnosis, the patient had gastrointestinal perforation or a ruptured bowel that is an acute abdominal surgical condition wherein there is a hole in the wall of the gastrointestinal tract causing stomach pain and vomiting.
After giving him antibiotics, and performed a laparotomy, and found a problem with the stomach. Even after medication, surgery, his problem didn’t resolve, and the patient was advised by his university teachers and friends to take treatment in India.
The patient returned to his hometown Nashik, Maharashtra from Russia with tubes in the stomach and in a wheelchair. On performing a CT scan, it was revealed that the patient suffered from Pancreatic Necrosis and was referred to Dr Roy Patankar 3 weeks back who gave him a new lease of life.
Dr Roy Patankar, Director and Gastroenterologist, Zen Multispeciality Hospital said, “On arrival in an emergency, the patient has symptoms like intense abdominal pain involving the back, fever, vomiting, and wasn’t able to eat and was nil by mouth. On arrival we performed a CT scan of Abdomen and pelvis which confirmed that he had pancreatitis with pus collected in the abdomen affecting the other organs. We inserted 3 tubes in the abdomen at various parts where pus was seen in scan, gradually pus was drained out through these tubes but to cure himself had to perform major pancreatic surgery as his pancreas were becoming necrotic or dead due to inflammation and injury. He was treated with antibiotics based on culture received from pus. He was not able to take anything through mouth, hence we inserted a tube through nose into stomach for feeding to optimise his condition as he was very weak and could not have sustained this major surgery. Later, his repeat CT scan revealed that there is pus in the pancreas and the patient needed surgery.”
Dr Patankar added, “The patient was scheduled to undergo Pancreatic necrosectomy which is a complex procedure for the management of necrotizing pancreatitis. Here, we drain all pus pockets and remove dead parts of pancreas taking adequate precautions to avoid any major bleeding as there are many major blood vessels and viral structures surrounding pancreas. We place tubes in drained pockets to make sure nothing collects inside and to pick early signs of bleeding, if any.”
Not treating him at the right time could have turned the infection into sepsis and led to damage to all major organs including liver, kidney, heart, brain and lung. Sepsis can lead to shock, reduces blood flow to the major organs causing temporary or permanent damage and even death. Now Patient is discharged and He is suggested to avoid a high-fat diet, and adopt a healthy lifestyle to keep diabetes at bay in the future.
“My world came crashing down after I suffered from severe abdominal pain radiating to my back, hyperacidity, and vomiting in Russia. I couldn’t even speak properly and was just crying in pain. I didn’t eat, was unable to sit, stand or even move. I required assistance to even go to the washroom. My pain didn’t subside even after taking treatment in Russia. Hence, I flew down to India on my own in a wheelchair with tubes inside the abdomen. Though I safely reached home, the pain continued to haunt me. After timely intervention at Zen Hospital, my condition improved. I was properly briefed about my condition and promptly treated for the same. The hospital is hygienic and provides round-the-clock service and care. I thank the doctors for giving me a fresh lease of life and saving my other vital organs from getting damaged due to this life-threatening condition. Looking forward to resuming my studies in Russia after a month,” concluded patient Harshal Shinde.