World’s first giant 8.5 Kg spleen removed from man’s abdomen

17 years ago patient Rajkumar Tiwari had to give up his daily routine due to leftside upper abdominal pain Despite consulting multiple doctors and undergoing thorough evaluations his condition remained undiagnosed and he couldnrsquot get any reliefHis health continued to decline as his spleen enlarged leading to symptoms like abdominal tightness obstruction due to lack of space in the abdomen and intestines vomiting and even hypersplenism resulting in cytopenia from the splenomegalyAfter struggling for almost two decades Tiwari recently got treated by a team led by Dr Imran Shaikh consultant GI amp HPB surgeon Wockhardt Hospitals Mira Road who successfully removed an enlarged spleen 3 ft x 1 frac12ft 90 cm size weighing 85 kgs via surgeryShaikh remarks ldquoOn arrival in the hospital the patient was looking weak tired and jaundiced He had been severely suffering from the symptoms for more than a year but aggravated in the last month After clinical examination the patient was subjected to blood investigations and a CT scan to confirm the diagnosisThe spleen is located on the left side of the abdomen and filters blood by removing old malformed or damaged red blood cells However spleen problems are prevalent in many people An enlarged spleen splenomegaly is a common occurrence that reduces the number of healthy red blood cells platelets and white cells in your bloodstream leading to frequent infectionsAlso Read New study shows Viagra can help prevent dementiaMassive splenomegaly with hypersplenism is a rare disorder that due to the enormous size of the spleen and its overfunction carries risk to the patient An enlarged spleen starts killing blood cells prematurely leading to low haemoglobin white cells WBC and platelet count Due to severely low haemoglobin Tiwari had severe weakness a low WBC count patient a poor defense mechanism that made him prone to infections Consequently his hemoglobin white blood cells and platelet count were reduced drastically due to an enlarged and overactive spleen He couldnrsquot walk climb sit or stand was exhausted and bedridden and dependent on his family members Not treating him at the right time could have been risky leading to spontaneous bleedingShaikh adds ldquoIt was very challenging to prepare this patient for surgery Blood and blood products given to the patient before surgery would die immediately in the spleen A condition called Refractory hypersplenism With a very low platelet count surgery was extremely risky with lifethreatening bleeding The patient was planned for abdominal angiography and embolisation of the splenic artery In this procedure we block the main blood supply to the spleen by putting coils in the artery to avoid the killing of transfused blood products Postcoiling embolisation we have transfused blood products to carry out surgery and increase the safety margin for patientsrdquoNext day the surgery was done by opening the abdomen The spleen was large and was adherent to the intestines pancreas diaphragm and stomach The spleen was carefully separated from all these structuresHealthcare experts report that there were no Intraoperative or postoperative complications The surgery lasted for 6 hours The biggest spleen removed in the world was 7366 cm and 23 kg which holds the Guinness Book World record This patient has a spleen 90 cm sized and weighs 85 kg The patient recovered and was discharged on postop day 5 His parameters read fine with hemoglobin 96 platelet count 800000 and WBC 12000 normalTiwari shares that lsquoThe constant pain and discomfort that held me back from living a fulfilling life are now just a painful memory thanks to the team of healthcare professionalsrdquoAlso Read Musthave AI skills revealed by industry experts