Doctors of Kazan saved a woman who could not be diagnosed
Specialists of the Republican Clinical Hospital of Tatarstan, together with the University Clinic of KFU, saved the life of a resident of Kazan, who could not get an accurate diagnosis for several years.
In early November, a woman with gallbladder inflammation symptoms due to stones was admitted to the Republican Clinical Hospital. As it is supposed to be done in such cases, the patient's organ was removed along with the stones. Yet, after the operation, the woman felt worse, her fever rose, and there were signs of inflammation of the liver bile ducts. Doctors have suggested that stones were forming in the patient's ducts. After additional examinations, experts found that small stones accumulated in only one duct, which led to inflammation.
Doctors decided to make a rare procedure using a unique Rendezvous method using three types of visualization, used only in the country's leading clinics. Specialists of the Radiology and Surgical Methods of Diagnosis and Treatment Department introduced a needle into the four-mm liver duct through a puncture in the patient's abdomen, thus paving the way for endoscopists. The doctors of the Endoscopy Department of the RCH and the University Clinic launched the ultra-thin SpyGlass endoscope through the mouth, reached the 12th colon, and met with X-ray surgeons. The specialists brought out many small stones through the intestine. After that, the procedure was finished.
It would have been impossible to do such a drainage without the Rendezvous technology. Neither endoscopists nor X-ray surgeons would have reached the place of stone accumulation because of its anatomical features. Nevertheless, the condition of the woman had not improved. Doctors conducted an additional examination, collected a consultation, and suggested a rare liver duct development anomaly.
A little more, and the woman could have started sepsis. Then, the patient was taken to surgery. Doctors removed two liver segments with bile ducts filled with stones and pus in two hours. After the operation, the patient's condition improved, and recently she was discharged to go home.