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Stories of grit & miracles
Kolkata man with abdomen ailments has all internal organs positioned on opposite side

Kolkata, 10.06.2022: When Apurba Kumar Goswami got admitted to AMRI Hospital, Mukundapur, under General Surgeon Dr Susenjit Prasad Mahato in the third week of May, the treating doctor and his team could not have imagined the surprise that awaited them inside the 34-year-old patient. 
 
The patient had Situs Inversus Totalis (SIT), where the internal organs are transposed on the opposite side of the body. A rare anomaly, it is estimated to be found in one among 20,000 people. In Mr Goswami’s case, while his liver and gall bladder were found on the left, his stomach and spleen were inclined towards the right. Even his heart was placed on the right side of the chest, instead of the usual left positioning. 
 
Mr Goswami came in with compliant of acute pain on the left side of his stomach and was admitted through the Emergency. Dr Mahato was initially baffled but after conducting ultrasonography and other tests, he traced the pain to the patient’s gall bladder, which had got infected and was filled with pus. Since his gall bladder was on the left, which is usually found in the right side of the body, below the liver, Dr Mahato had faced initial difficulties in understanding the disease. 
 
While his inflated gall bladder had some stones inside, and the organ was pressing on to his bile ducts, he was also detected with jaundice, causing further problems. In order to surgically treat Mr Goswami’s gall bladder, the doctors had to address these issues first and the case was referred to Senior Consultant, Gastroenterology, Dr Gautam Das for ERCP. The procedure – Endoscopic Retrograde Cholangiopancreatography – is used to diagnose and treat problems in the liver, gallbladder, bile ducts, and pancreas, combining X-ray and endoscope. 
 
“I conducted ERCP to implant a stent inside his bile duct so that the issue she faced could be controlled and his gall bladder could be surgically treated, which was crucial to save his life. The position of his internal organs, however, made it difficult to conduct the ERCP since the maneuvers needed to conduct the procedure is usually done with the right hand on the right side. In his case, I had to do it form the reverse angle,” Dr Das said. 
 
After a successful ERCP procedure, Dr Mahato and his team took over to conduct surgery so that his gall bladder stones and the pus-filled infection could be treated. “Both the ERCP procedure and the surgery were difficult as we had to improvise our ways to conduct surgery on organs which are not where they are supposed o be. The surgery took around two hours. Patient’s recovery has been quite good and he’s doing quite well now,” Dr Mahato said. 
 
Both Dr Das and Dr Mahato agreed that conducting ERCP and laparoscopic cholecystectomy in a patient like Mr Goswami are technically more demanding as it needs doctors to reorient their visual motor skills, focusing on the abdomen’s left upper quadrant, instead of the right upper quadrant, due the positioning of his organs. 
 
Mr Goswami, a 34-year-old Kasba resident, said that he was aware that he had dextocardia, a congenital condition where the heart is pointed towards the right instead of the left. “When I was around four years old, I had severe chest congestion and my father had taken me to a doctor, where an X-ray revealed about the unique positioning of my heart. I, however, had no idea that all my internal organs were in opposite positions,” he said. 
 
“I have been suffering from pain on the left side of my stomach since 2018 but despite conducting necessary tests nothing was revealed and doctors could not understand the reason behind the acute pain. I am grateful to Dr Mahato and Dr Das for finding out what was wrong with me and providing me the right treatment,” he added. 
 
Doctors Mahato and Das both said that Situs Inversus Totalis is a rare congenital abnormality but most affected individuals can live a normal life without any disabilities. They also pointed out that misdiagnosis of SIT can have dire consequences for a patient’s quality of life and in case of undiagnosed pain, like Mr Goswami suffered from, doctors should explore all options. 

Malignant tumour weighing 2kg removed from patient's liver periphery in Kolkata

In a ground-breaking surgery, a team of surgeons in a Kolkata hospital successfully removed a tumour on the liver from a 61-year-old man, which weighed around 2 Kilos and was around 15 cm by 15 cm in size.

Dilip Kumar Halder, a resident of Nadia , is currently doing well and was discharged from on AMRI Hospitals , Dhakuria on Wednesday.

The massive malignant tumour had covered almost the whole left section of the patient’s liver, even the two crucial blood vessels in the organ, which control the inflow and outflow of blood to the liver. Senior Consultant GI & Oncosurgeon, Dr Suddhasattwa Sen pointed out that the surgery was crucial and difficult due to the size of the tumour and its position.

Eastern India’s Oldest Recipient of Knee Implant

Mr Eswar Chandra Mohanty, 92, gained the distinction of becoming the oldest citizen from Eastern India to undergo a knee replacement surgery at AMRI Hospital- Bhubaneswar. A resident of Bhubaneswar, Odisha, was wary of the surgery and avoided it for long. He, however, agreed and underwent the procedure successfully in January 2021 under Dr. Basant Behera, Senior Consultant, Orthopaedics & Joint Replacement Surgeon.

Undigested Ayurvedic Pills Extracted

Mr Manoj Bhalotia, a 56-year-old resident of Salt Lake, got admitted to AMRI Hospital-Salt Lake, in December 2020, amidst the COVID-19 pandemic, with severe stomach ache, stomach obstruction, digestive issues, and zero appetite. He underwent an MRI scan which found large patches of foreign objects inside his stomach.

Nail Extracted From 6-month-old Baby’s Throat

Paediatric surgeons of AMRI Mukundapur in June 2018 saved the life of six-month- old Taufiq Mullik, from Murshidabad district of West Bengal, who accidentally swallowed a 2.5 inch nail. When his uncle Alauddin noticed he was frothing and bleeding at the mouth, he called Taufiq’s grandmother. She tried to extract the nail but it got further stuck in Taufiq’s windpipe.

Rare Airway Surgery Conducted on Newborn

AMRI Hospitals conducted Eastern India’s first successful Airway Surgery in June 2018, on a 28-day-old girl child from Bagula in Nadia district of West Bengal, who was born with obstruction in her air passage. The baby was suffering from laryngomalasia, a condition where the larynx is blocked. In case of the baby from Nadia, her epiglottis was blocking the air passage.

Kargil Veteran’s Rare Cancer Treated

Mr Tarun Shankar Tewari, 55, a veteran of Kargil War, was suffering from acute intestinal obstruction and severe pain in the upper part of his abdomen, along with increasing constipation for three months. Investigations revealed a large complex giant tumour in the right lobe of his liver, besides a smaller one on the left lobe. His colon was adherent to the mass and was causing the obstruction, most likely due to pressure from the tumours.

Rare Congenital Heart Condition of Silchar Baby Treated

Both in May 2019 with a rare and critical congenital heart condition, Mahid from Silchar, Assam, was left whizzing for breath, and nearly dying. His father, Shahidul Alam Badabhuiya refused to give up. After knocking on several doors, looking for Mahid’s treatment, he flew down with his nine-day-old son to Kolkata. He could exhale in relief only after he met Dr Dhritabrata Das, Consultant Paediatric Cardiologist at AMRI Hospital-Mukundapur.

Newborn Bhumi Roy’s Septic Arthritis Cured

Surgeons at AMRI Hospitals saved the life of newborn in a critical surgery within a month of her birth at the hospital’s Mukundapur unit in Kolkata. Diagnosis revealed that she was suffering from septic arthritis and without the timely surgery she would have been left immobile for the rest of her life.

AMRI Implants Eastern India’s 1 st Indigenous Heart Valve

In December 2018, AMRI Hospitals set yet another benchmark by introducing an indigenous artificial valve for cardiac valve implantation, for the first time in Eastern India. Manufactured completely in India, the valve is not just cost effective but also meets global standards. The cardiac implant surgery was conducted on 73-year old Subhash Chandra Dutta, a resident of Chittagong, Bangladesh.

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