10 kg tumour involving multiple organs successfully removed at AIIMS Delhi

The woman seemed inoperable as besides the ovary, multiple sites of the small intestine were also involved. Her anterior abdominal wall, urinary bladder and a part of the large intestine were also affected. CT scan confirmed the involvement of multiple organs, Dr Ray said, news agency PTI reported.

"This made the case very challenging as the surgery required removal of a large portion of small intestine which usually leads to small bowel syndrome, a condition which hampers quality of life because of nutrition deficiency," Dr Ray added.

Another challenge was that the walls of the intestine and bladder had become splayed due to the compression by the tumour, making the repair of the bladder and the intestine all the more difficult, said Dr Rohan Kapoor from Ray's department who assisted in the surgery.

There was also the risk of blood loss because of the injury of the blood vessels during the surgery, Dr Kapoor said.

The tumour weighing around 10 kg was finally removed after a 10-hour surgery on December 2. During the surgery, multiple segments of the small intestine were resected and joined from different sides to maintain continuity, Dr Ray said.

Two segments of the urinary bladder were also removed and reconstructed, and the patient was discharged within a week of the surgery.

"The lesson learnt from this case is that even in repeated relapse cancer conditions involving multiple organs, the patient should not be considered inoperable unless explored by experts at high volume centrse," Dr Ray said.

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