Dengue causes four liters of internal bleeding; KIMS surgeons save Hyderabad woman
Hyderabad: A 37-year-old woman from Hyderabad was successfully saved after doctors at KIMS Hospital performed an emergency laparoscopic surgery. The patient was experiencing severe complications from dengue fever and a ruptured ovarian cyst, which led to significant internal bleeding.
According to Dr. N. Bindupriya and her team from the Urogynecology Department, the woman initially sought treatment at a smaller hospital but was transferred to KIMS Hospital as her condition deteriorated. Dr. Bindupriya said, “The patient arrived with dengue fever and severe abdominal pain and was already in shock. We immediately administered ten units of blood and platelets to stabilise her. Despite these measures, her abdominal pain persisted, leading us to perform an ultrasound and CT scan.”
The diagnostic imaging revealed a ruptured ovarian cyst that had caused four liters of blood to leak into her abdomen. Dengue fever can lead to internal bleeding and other severe complications, making timely identification and treatment crucial.
Dr. Bindupriya further said, “We performed emergency laparoscopic surgery to address the internal bleeding and remove the ruptured cyst. The surgery was successful, and with the dengue fever under control, the patient fully recovered.”
The complex case required the coordinated efforts of multiple specialists. Dr. Shivaraju’s team of general physicians, Dr. M.B.V. Prasad’s team of general surgeons, the MICU team led by Dr. Pavan, and the anesthesia and emergency doctors all played crucial roles in the patient’s care.
Dr. Bindupriya highlighted the importance of having a multidisciplinary team in critical situations. “The collective effort of all these specialists was vital in saving a life that was on the brink of a life-threatening condition,” she said.
Dengue fever is a mosquito-borne illness caused by the dengue virus, prevalent in tropical and subtropical regions. It often remains asymptomatic, but when symptoms do appear, they typically begin 3 to 14 days after infection. Symptoms may include high fever, headache, vomiting, muscle and joint pain, and a characteristic skin rash. Recovery usually takes two to seven days. In a small proportion of cases, the disease can progress to severe dengue formerly known as dengue hemorrhagic fever or dengue shock syndrome, characterised by bleeding, low blood platelet levels, blood plasma leakage, and dangerously low blood pressure.
