KIMS Kondapur Performs Groundbreaking Surgery to Cure Rare, Previously Inoperable Jaundice Case
KIMS Hospitals, Kondapur, has achieved a major medical breakthrough by successfully treating a rare and complex case of chronic jaundice that was considered inoperable even at leading international centres.
Hyderabad: KIMS Hospitals, Kondapur, has achieved a major medical breakthrough by successfully treating a rare and complex case of chronic jaundice that was considered inoperable even at leading international centres.
The patient, a 30-year-old software professional from Hyderabad, has now been permanently relieved after eight years of debilitating illness.
Dr. Ravula Phani Krishna, Senior Consultant Surgical Gastroenterologist and Liver–Pancreas Specialist at KIMS Kondapur, shared that the patient had exhausted all treatment options both in India and abroad before approaching KIMS as a last resort.
The patient was diagnosed eight years ago with a slow-growing pancreatic neuroendocrine tumour that gradually compressed his bile duct, resulting in persistent obstructive jaundice. His condition caused severe itching, recurrent vomiting, indigestion, frequent infections, and multiple hospitalisations, significantly affecting his quality of life. Complicating matters, the tumour encased the portal vein, causing severe portal hypertension and the development of fragile collateral blood vessels, making surgery highly risky. Several hospitals had declared the condition untreatable.
Follow for more details: munsifdaily.com
For nearly seven years, the patient relied on metallic biliary stents, undergoing more than 24 ERCP procedures with only temporary relief. Even a high-risk surgery recommended at Heidelberg, Germany, with a 20% mortality risk, was deemed unfeasible due to the complexity and cost.
After a detailed evaluation, Dr. Phani Krishna and his multidisciplinary team devised a two-stage surgical approach. Initially, a Percutaneous Transhepatic Biliary Drainage (PTBD) was performed to stabilise the patient and control jaundice. The first stage involved a complex shunt surgery diverting intestinal blood flow to a renal vein, reducing portal hypertension and shrinking the dilated collateral vessels, making the definitive surgery possible.
In the second stage, the team conducted a nearly 10-hour marathon surgery to permanently relieve bile duct and intestinal obstructions. Remarkably, the operation was completed without significant blood loss—a rare achievement in such high-risk cases.
The patient recovered smoothly without post-operative complications and has resumed his IT career within six months, living completely free of jaundice for the first time in eight years.
Dr. Phani Krishna said, “This case demonstrates that even conditions once considered untreatable can be successfully managed in India with meticulous planning, multidisciplinary expertise, and perseverance. It reaffirms KIMS Kondapur’s commitment to delivering world-class care for the most challenging cases.”
