Media Release
Mangaluru, Aug 29: The patient, a 43-year-old lady, had complaints of heavy menstrual bleeding and severe abdominal pain during menstruation for the past one year. She was diagnosed with endometriosis and was on treatment for the same. She consulted many hospitals outside with no relief.
She presented to the gynecology outpatient department of KMC Hospital Attavar with severe pain in abdomen and fever since 1 week. Ultrasound and MRI showed bilateral endometriotic cysts in both ovaries and features of acute pelvic inflammatory disease.
She was managed with intravenous antibiotics and observed for 1 week, but pain and fever did not subside, hence decision was taken for surgery. Surgery was done by senior gynecologist Dr Nina Mahale and senior general surgeon Dr Poornachandra Tejaswi revealed pus in the abdomen, pelvic abscess and bowel adhesions to the uterus and both tubes and ovaries. It was a complex surgery as normal planes were totally distorted due to sepsis and endometriosis.
However, despite the presence of a frozen pelvis, the surgical team were able to carefully separate the dense adhesions and total abdominal hysterectomy with bilateral salpingo-oophorectomy was done. In post-operative ward, her clinical course was closely monitored by the department of obstetrics and gynecology under the supervision of head of unit Dr Aparna Bhat, Dr Nina Mahale and Dr Sauda.
The medical care team, headed by Dr Deepak Madi played a crucial role in controlling sepsis and providing appropriate antimicrobial therapy. The anesthesia team, led by Dr Sumesh T Rao, ensured safe intra-operative management as well as effective post-operative pain relief and supportive care.
This case was an example of multidisciplinary team management, with contributions from gynecology, surgery, medicine, radiology, and anesthesia departments, ensuring comprehensive care at every stage. The medical superintendent, Dr Chakrapani, and his team ensured seamless teamwork and resource mobilization, which were vital in managing this high-risk and complex case.
The patient recovered well, tolerated oral intake, and was discharged after adequate post-operative monitoring. On subsequent follow-up visits in the gynecology OPD, the patient was found to be doing well with no complications.
This case at KMC Attavar Hospital clearly demonstrates that teamwork, clinical expertise, and surgical skill are essential in managing complex cases and can lead to the best possible outcomes.