The patient reported with a ruptured kidney and intermittent bleeding in the urine
Doctors at Fortis Hospital Shalimar Bagh performed a rare kidney procedure in a 45-year-old woman from Haryana to get rid of a ruptured cancerous kidney tumour.
The team led by Dr. Rajinder Yadav, Director Urology and Kidney Transplant performed a Left Radical Nephrectomy (removal of whole kidney with surrounding tissues) on the patient. Early detection was the key, the doctors later said.
To stop the bleeding, the left renal artery was blocked under X-Ray imaging (Angiography). This was followed by blood transfusion to increase the hemoglobin level
Darshan Devi came to the hospital in an emergency in January. She complained of occasional bleeding in the urine for 2 months. She also complained of pain in the back and left side of abdomen for one day. She was found to have ruptured and bleeding left kidney tumour with collected blood clots within the left kidney and surrounding tissues. Persistent blood loss had lowered her haemoglobin so much that she was unfit for a major surgery. The patient also had very high blood sugar due to the uncontrolled diabetes.
Dr Yadav said: “This is one of the very rare presentations of kidney tumour and even more rare in the middle aged women. The average age of people diagnosed with Kidney Cancer is above 60 years of age. To be diagnosed with bleeding tumour at 45 is rare. The patient never complained of any kidney related ailment in the past. Such a tumour has no significant signs and often do not cause much pain. However, if while urinating there is bleeding or pain, one should immediately consult a doctor. Had the patient not been diagnosed and treated timely, the tumour would have cost the patient her life.”
To stop the bleeding, the left renal artery was blocked under X-Ray imaging (Angiography). This was followed by blood transfusion to increase the hemoglobin level. The left kidney with ruptured tumour and surrounding tissues along with the clotted blood was removed.
Devi said: “I had on and off painless bleeding in the urine for the past two months. I dismissed it as regular periods. It took me a while to realise that this was no regular bleeding. My diagnosis has helped me reach younger and middle aged woman to read their body signs and make them aware of the importance of regular and timely screening.”