Lifesaving Management of Angiomyolipoma Through Rare IR Angiographic Procedure at Kailash Hospital, Noida

Mrs. Chander Prabha Bangia (CHANGED NAME) had been enduring severe pain in her right kidney and excessive bleeding for an extended period. After numerous consultations at various hospitals, she was diagnosed with Angiomyolipoma, a rare benign tumor of the kidney. However, the advice from multiple doctors to undergo a nephrectomy (kidney removal) led her to refuse surgery due to the fear of losing her kidney. Opting for conservative treatment, she was discharged from the hospital. Unfortunately, three months later, her condition worsened, leading her to seek emergency care at Kailash Hospital, Sector 27, Noida. This case study details the innovative and lifesaving intervention performed by Dr. Paresh Jain, Urologist, and Dr. Amit Kumar, Interventional Radiologist, to treat her condition without resorting to nephrectomy.

Presentation of Symptoms

Mrs. Bangia arrived at the emergency department of Kailash Hospital in extreme distress, experiencing unbearable pain and severe bleeding. The medical team quickly recognized the critical nature of her condition. Her history of Angiomyolipoma, along with her refusal of previous surgical recommendations, added complexity to her case. A thorough examination and urgent tests revealed that her hemoglobin levels had dropped to dangerously low levels, and the persistent pain was directly linked to the tumor in her right kidney.

Diagnosis and Challenges

Upon admission, Mrs. Bangia was placed under the care of Dr. Paresh Jain. Detailed imaging and diagnostic tests confirmed that the Angiomyolipoma in her right kidney was the source of her pain and bleeding. The tumor, while benign, had grown to a size that was causing significant internal bleeding, leading to the critical drop in hemoglobin and exacerbating her symptoms.

The challenge was not only to stop the bleeding and relieve her pain but also to preserve her kidney, which she was desperate to save. Given her refusal to undergo nephrectomy, the medical team needed an alternative, less invasive approach that would effectively manage her condition while addressing her concerns.

Treatment Plan: A Minimally Invasive Approach

Recognizing the need for a specialized intervention, Dr. Paresh Jain consulted with Dr. Amit Kumar, an expert Interventional Radiologist at Kailash Hospital. Dr. Kumar proposed a rare yet highly effective minimally invasive procedure: an endovascular embolization. This technique involves blocking the blood vessels feeding the tumor to reduce blood supply, effectively shrinking the tumor and stopping the bleeding.

Mrs. Bangia, after being reassured by Dr. Kumar about the safety and efficacy of the procedure, agreed to proceed with the treatment. The procedure involved the following steps:

• Angiography: Detailed imaging of the blood vessels in the kidney to identify the arteries feeding the tumor.
• Endovascular Embolization: Using a catheter, embolic agents were delivered directly into the blood vessels supplying the tumor, effectively cutting off its blood supply.
• Post-Procedure Monitoring: Continuous monitoring to ensure the success of the embolization and to manage any potential complications.

Outcome and Recovery

The endovascular embolization was performed successfully, and the results were immediate. The bleeding stopped, and Mrs. Bangia’s pain subsided significantly. Her hemoglobin levels began to stabilize, and she showed marked improvement within hours of the procedure.

Over the next few days, Mrs. Bangia was closely monitored, and her recovery was smooth. The tumor's blood supply had been effectively cut off, leading to a significant reduction in its size and the associated symptoms. Most importantly, her right kidney was saved, much to her relief and happiness.

Conclusion

Mrs. Chander Prabha Bangia’s case is a remarkable example of how advanced medical techniques, like endovascular embolization, can offer lifesaving solutions while preserving vital organs. The expert collaboration between Dr. Paresh Jain and Dr. Amit Kumar at Kailash Hospital, Sector 27, Noida, not only addressed the immediate medical emergency but also fulfilled the patient’s wish to avoid nephrectomy and retain her kidney.

Mrs. Bangia expressed profound gratitude to the medical team for their proactive approach, unmatched expertise, and compassionate care, which gave her a new lease on life, free from pain and the fear of losing her kidney. This case underscores the importance of innovative, patient-centered care in managing complex and life-threatening conditions.

For more insights into Mrs. Bangia’s journey and the successful treatment she received, you can visit this link.