Ormond’s disease – A rare condition treated successfully on a patient from UZbekistan
Life took an unexpected turn for 54-year-old Mr. Askar Zununov, a citizen of Uzbekistan, when one day he started having severe abdominal pains.
He believed he monitored diet, routine exercise regime and above all regular health check-ups. Assuming the pain may be related to indigestion or food poisoning he visited local doctor who prescribed blood tests. Based on the reports the doctor gave prescription medicines but the pain didn’t subside and became severe. His condition worsened and he faced difficulty with symptoms like pain, swelling, and discoloration in legs, swelling of the scrotum, decreased urine output and suddenly total lack of urine accompanied by nausea, vomiting and weight loss.
Due to unavailability of specialist doctors and lack of proper medical facilities in his place, it was difficult for local doctors to understand the exact reason behind his condition, so he was advised to refer at a super speciality.
ROLE OF CONSULT
After consulting at many local hospitals, Askar and his family were losing hope until one day they came to know about Konsult which can help them for treatment at a better place. Konsult team did exactly what they expected and assured Askar of a world class treatment for his condition. After completing the formalities related to Medical Visa with the help of Konsult, Askar was referred to an expert Urologist Dr Sanjay Gogoi of Manipal Hospitals, New Delhi, India. Askar’s brother accompanied him to India and is very much satisfied by all the services like; from their arrival to airport to transfer to the hospital, and further accommodation requirements as everything was managed in a hassle-free way by Konsult.
COURSE OF TREATMENT IN THE HOSPITAL
As soon as Askar reached hospital, he was admitted and major investigations were initiated. First challenge for the doctors at Manipal hospital was to find the exact cause of his condition. After investigations and laboratory tests it was diagnosed that Askar was suffering from Retroperitoneal fibrosis or Ormond’s disease. It occurs when excess fibrous tissue develops in the space behind your stomach and intestine called the retroperitoneal area. Fibrosis is the growth of excess connective tissue, which causes a mass to form. This often causes compression and blockage of the ureters, which are the tubes that carry urine from your kidneys to your bladder and if not treated on time can lead to kidney failure as well.
Askar was scheduled for Laparoscopic Ureterolysis- a surgical procedure done to remove the blockage, repair the affected ureter, and prevent it from happening again. Stents (drainage tubes) were placed in the ureter which provided short-term relief of the symptoms. During laparoscopy, several small incisions were made in the abdomen. The scope is put through one of the small incisions which sends pictures from inside the abdomen to a video screen. Surgical tools were placed through the other incisions and blockage was removed. After the surgery the incisions were closed by staples and dressing was done. Askar was shifted to ICU for observation.
Askar responded well to the surgery, his drainage was adequate. Pain was managed through medications. He could feel the relief and his kidney started working slowly. He was hospitalized for a week and was discharged wit bilateral DJ stents which was to be removed after three weeks of the surgery. Post-discharge he stayed at the accommodation provided by Konsult in the vicinity of the hospital and doctor would visit him daily to monitor his recovery status.
LIFE AFTER THE SURGERY
After a long phase of pain and discomfort, finally Askar was able to perform daily activities and go back to his normal life. He was slowly coping up with everyday challenges and looking forward to get back to his job. He was very satisfied with the help and support provided by the Konsult and the team of doctors and paramedics at Manipal hospitals. After three weeks the DJ stents were removed and he was ready to fly back to his country. Konsult also arranged for him a recreational trip in India to make his visit end on a positive note.