COL sent a message to Mukesh Ambani – Chairman and Managing Director, Reliance Industries Limited – Email Address that said:
Dear Sir
1.I am a soldier taken part Operation Blue Star ,Urban Insurgency Counter Insurgency in JK Assam .Today I am fighting in Tata Memorial Hospital to save my wife who is under treatment and admitted in 902 Homi Baba Block since 17 Aug 2016.I as a soldier had requested Honorable Prime Minister to intervene to save my wife so that she can get some life to settle her two daughters but yet to receive any reply it was very disappointing that today she under went a surgery the surgery was a failure.Kindly refer our case to surgeons all over India we are willing to move who is willing to take our case as a challenge .
Right trisegmentectomy +caudate lobe resection, segmental poatal vein confluence Resection with Roux-en Y left hepaticojejunostomy at Sir GangaRam Hospital New Delhi Done on 4/11/2009
Operative details Medanta 12 June to 22 June 2012- 3x3cm mass in bile duct confluence. Involving portal vein confluence with Thrombosis of RVP Pericholedochal lymphadenopathy present -1x1cm, soft Liver- fatty, No SOL,no ascites,no e/o peritoneal disease. Left lobe-seg 4 left lateral Segment hypertrophied, liver hilum rotated to right side.
Present Status
PETCT Feb 2015.: Compared to previous scan (11/6/14), scan findings reveal: No evidence of metabolically active disease in the present study. No new lesions are noted.
Was under observation and then had asymptomatic rise in CA 19/9 from 2870 to 8870
further 6# FOLFIRI was given
Last cycle-10/3/2016
HAD PROLONGED PYREXIA OF UNKNOWN ORIGIN
reponded to PTBD, done in AIIMS on 3.10.16
H/O recurrent fever with multiple antibiotic usage -- ? Cholangitis
PTC gram - revealed free flow of
contrast through hepaticojejunostomy site with no e/o
biliary obstruction. Efferent loop of jejunum is dilated
likely bowel obstruction causing reflux ascending
cholangitis
Bile (28/12)- heavy growth of ESBL Klebsiella and E Coli
31/12/16 Exploratory Laprotomy done on 31/12/16- Dense inter bowel and bowel to parietal wall adhesions present. Ascitis ? Straw coloured, clear - present 600 cc aspirated, sent for culture Multiple mesenteric nodules present. No grossly dilated bowel loop present. Left hypertrophied liver present Due to dense adhesions and peritoneal nodules, not possible to mobilize any bowel loop or trace the entire small intestine. Hence further surgery deferred
Sir request to help us to over come present problem so that my wife can lead a normal life.
With Regards
COL
