Iraqi Patient’s Four-Year Quest for Cure Ends at Gurgaon Hospital

Gurugram, 15 September, 2017: Mr. Salam Abdulridha Zghair, a 26 year old Iraqi patient, traveled internationally to countries like Egypt before coming to India in his quest for treatment for abdominal pain, enlarged spleen, acute weakness and inability to consume food.

In thatquest, he underwent several endoscopies and numerous blood transfusions athospitals in Iraq and Egypt, without even being correctly diagnosed.  Forfour long years, he continued to have unbearable abdominal pain and survivedwith hemoglobin levels as low as 6 g/dL and a severely low platelet count.

It was atypical example of misdiagnosed and undiagnosed case. It was only when hereached Paras Hospitals in Gurugram that he was correctly diagnosed that spleenbleeding was the main issue.  

“The patientpresented at our hospital in critical stage. He had received about 14injections of glue to stop gastric bleeding, but was devoid of any relief.Thereafter, the patient explored treatment options in India, and reached ParasHospitals Gurgaon in serious condition. Prolonged treatment without correctdiagnosis had adverse effect upon his health and the condition had becomeworse. Four years is a long time for such ailments and it should have beencorrectly diagnosed and treated at an earlier stage”, said Dr. RakeshDurkhure, Sr. Consultant General  & Laparoscopic Surgery, ParasHospital Gurgaon.

A team ofdoctors and specialists attended the patient closely. Dr Durkhure examined thepatient and diagnosed spleen as the main issue along with raised pressure inhis portal system which was causing gastric bleed; Dr. Rakesh Durkhure, Sr.Consultant, General and Laparoscopic Surgery led theoperation along with Dr. Alok and Dr Rajnish Monga was the gastric physicianfor this case.

“Afterdiagnosis, splenectomy was conducted.  The spleen was identifiedand was found to be entangled between enumerable web of blood vessels. Theligaments holding the spleen in place were dissected and the organ was removedwith impunity.” Dr.Rakesh Durkhure explained. 

Due to delayin proper diagnosis and prolonged incorrect line of treatment, the surgery wasnot without challenges.  “One of the major challenges was the 3.1 kg sizeof the spleen and partially destroyed vessels due to previously administeredglue injections. Another big challenge was to keep blood pressure low. This wasdone to avoid bleeding during surgery, and to join splenic vein to left sidedkidney vein. Both these vessels were thinner than a piece of stretchedsee-through polythene, the thinnest that we have ever come across. Despitethese challenges, including the low hemoglobin levels and platelet count,surgery was performed perfectly in 5 hours without much loss ofblood.” 

The caseonce again brings to front the importance of correct diagnoses and line oftreatment. Misdiagnosis can easily lead to fatalities or seriousdamage to the patient’s health. In this case, thankfully, the patient had aspeedy recovery and had started taking meals from the very next day.  Ahappy and satisfied Mr. Salam Abdulridha Zghair was discharged from thehospital within 4 days post-operation.  

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