POLYCYSTIC KIDNEYS, 2.75 & 2.5kg

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ashok wadhwa

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Apr 22, 2015, 3:54:21 AM4/22/15
to KGMC 65, Bharat Wadhwa, SHIRISH CHANDRA, POONAM C, wadhw...@hotmail.com

Surgeons have removed the world's largest kidney weighing 2.75 kg from a 45-year-old patient, authorities at Delhi's Sir Ganga Ram Hospital said on Tuesday.

Subash Yadav (name changed) was diagnosed with chronic renal failure with severe pain in the abdomen, blood in urine and high fever. Little did he know that what was building inside his body was a kidney almost equivalent to the size of a baby. Normal kidneys weigh approximately 130 grams. The Guinness Book of World Records reports a kidney weighing 2.15 kg as the world's largest, which was removed in Dhule, Maharashtra, in 2011.

Due to severe infection in the kidneys, Yadav's condition was deteriorating with every passing day. Besides, it was leading to loss of blood. After consulting various doctors, Yadav landed at Sir Ganga Ram Hospital in the national Capital last month, and doctors decided to remove both the kidneys in a life-saving procedure.

"Due to excessive blood loss, I used to feel tired throughout the day," said the 45-year-old man. "He was undergoing dialysis," Dr Manu Gupta, consultant, urological surgeon, SGRH, told MAIL TODAY.

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Last year, Yadav was diagnosed with autosomal dominant polycystic kidney disease (ADPKD) that is an inherited genetic systemic disease occurring in 1:700 to 1:1,000 individuals. It is a common inherited disorder with 12.5 million cases worldwide.

"It took us three hours of difficult dissection to remove the kidney that weighed 2.75 kg-20 times more than normal-and was stuck to the surrounding intestines. The second one, weighing 2.5 kg, was also removed a week later. Altogether, the patient's body was bearing an extra weight of over 5 kg," added Dr Gupta.

Dr Vinant Bhargav, consultant nephrologist at SGRH, said that pre-transplant nephrectomies (removal of kidneys) are occasionally necessary.

"The patient is recovering and awaiting kidney transplant," Dr Bhargav told MAIL TODAY. The development of multiple kidney cysts results in slow enlargement of the kidney, leading to chronic kidney disease (CKD) in 50 per cent patients.

Doctors say children of such patients are screened young and followed up for life. "Patients may have symptoms of haematuria (blood in urine), abdominal pain, an abdominal mass, kidney failure and hypertension," Dr Gupta told MAIL TODAY.



Rotarian (Dr.) Ashok K. Wadhwa
Senior Consultant in Radiology

Ex-Vice-President, Rotary Club of Delhi-Maurya

Prakahuja

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Apr 22, 2015, 4:53:33 PM4/22/15
to georg...@googlegroups.com
Dear Dr Ashok Wadhwa
Thanks for sending details of interesting clinical case.
Thanks
Prakash

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