Four-yr-old was diagnosed with rare disorder in 2019; his condition worsened in ’20, after which doctors decided to perform surgery; plan to send case study for medical journal
The boy had inflammation in his pancreas and gallbladders, and there was also bile duct cyst. Representation pic
City doctors successfully operated on a four-year-old boy from Kandivli who was born with double gallbladder, a rare congenital malformation.
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According to the paediatricians treating Aayushman Tiwari, he was diagnosed with this rare disorder in 2019. However, the doctors had, at that time, said a surgery could wait.
“He tolerated severe pain in the abdomen for a year as the doctors could not diagnose it earlier. In 2020, Tiwari developed inflammation in the pancreas and both the gallbladders,” said Dr Rajeev Redkar, senior paediatric surgeon at Lilavati Hospital.
He said when the child was first brought to Lilavati Hospital, he had severe pain in abdomen, fever and was vomiting. “He was not even able to have food from mouth,” said Dr Redkar.
The required diagnostic tests established the anomaly and inflammation of the pancreas and gallbladder.
“Along with the inflammation of the pancreas and gallbladders, the child had a bile duct cyst with stones within the cyst. Therefore, we decided to take him up for the surgery,” said Dr Anant Bangar, paediatric surgeon, who was part of the surgery team.
As part of the surgery which took place on November 29, his gallbladders and bile duct were removed and a bile duct was created using a part of the small intestine.
Dr Redkar said the surgery was challenging as there is a high failure rate of these kinds of repairs in case of ongoing infection. “This type of surgical repair is known to be a complicated procedure with significant morbidity and a high chance of infection,” he said.
Dr Bangar explained that inflammation of pancreas is a debilitating condition which can increase morbidity for lifetime and patients can have episodes of severe abdominal pain for their entire life and can be life threatening if it gets perforated.
Doctors plan to send the case study for a medical journal because of the rare condition. “Not even a single case of similar condition has ever been reported in such a small child,” said Dr Redkar.
29 Nov
Day the surgery took place
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