Vijayawada: A 28-year-old female, Ms. Divya (name changed) came to Manipal hospitals Vijayawada with complaints of fever with chills, backache, nausea and vomiting for 3 days. Additionally, she was experiencing decreased urine output, worsening breathlessness since the first day. She visited the hospital during the midnight with the above-mentioned complaints.

Speaking about the surgery Dr. Sridhar AVSSN – Consultant Nephrology & Kidney Transplant Physician – Manipal Hospitals Vijayawada said, “On arrival, she was in a state of shock. She was experiencing difficulty in breathing and anuric. On evaluation, we realized she had severe renal failure, Acute Respiratory Distress Syndrome (ARDS), Leucocytosis, Right Acute Pyelonephritis with Pelvic Ureteric Junction calculus, and negative RT PCR for SARS COV 2. All these above complications made this case very serious as the patient was in a very fatal situation. She was intubated and put-on mechanical ventilation with vasopressors and SLED–F (sustained low-efficiency hemodiafiltration), for 8 hrs. After that, she underwent a cystoscopy and DJ stent placement in the right ureter.” The team of doctors Dr.Ravi Shankar – Consultant Urology, Dr. Lakshmi Prasuna – Consultant Gynaecology, Dr. Balaji – Consultant Anaesthesia saved her life.

Speaking about the surgery, Dr Sudhakar Kantipudi – Hospital Director, Manipal Hospital, Vijayawada said, “When the patient visited us, she was on the verge of a life-and-death situation. It was very vital for us to stabilize the situation before taking any further steps. I would like to congratulate and thank Dr Sridhar and team for successfully treating the patient and making sure that the patient was happily breathing back to life. We are very happy that the patient is getting back to living her normal life and these are the moments we, as a healthcare provider, thrive on.”

The general condition of the patient improved with her Blood Pressure coming back to normal, improvement in her Urinary Output (UOP) and subsequently taken out from ventilation support. She recovered completely from her renal failure and after 1 month she successfully underwent Percutaneous Nephrolithotomy (PCNL) for right renal calculus.