AIIMS Nagpur Successfully Manages a Rare High-Risk Abdominal Tumour Case

 A 56-year-old gentleman who was critically ill presented with a massive abdominal mass involving almost the entire abdomen, measuring approximately 25 × 30 cm on the outside imaging. The patient initially presented to the emergency department and was admitted in a state of shock. On the surgical oncology call, Dr. Neelesh Shrivastava, assistant professor of surgical oncology, evaluated the patient and taken transfer of the patient to the department. The patient was stabilised hemodynamically and underwent further workup. CT abdomen shows a huge mass involving the entire abdomen and pelvis with huge compression on the kidney and diaphragm, resulting in decreased urine output and breathing difficulty, biopsy suggestive of Gastrointestinal Stromal Tumour (GIST). Due to the patient’s poor general condition, neoadjuvant therapy was not feasible. After careful multidisciplinary evaluation, it was decided to proceed with high-risk surgery. The team included Dr. Neelesh Shrivastava, assistant professor of surgical oncology, Dr. Shubhada Khanapure, associate professor of surgical oncology, dr Barkha Agarwal, associate professor of the department of anaesthesia, and dr Revanth Ch, assistant professor of the department of anaesthesia. The complex operation was leaded and successfully performed by Dr. Neelesh Shrivastava and team, despite the tumour’s extensive size and involvement.

Postoperatively, the patient developed lung-related complications, which were promptly managed. With sustained team efforts, the patient made a steady recovery.

The patient is now clinically stable and being discharged, highlighting the institute’s capability to manage complex oncological emergencies even in critically ill patients.

AIIMS Executive Director & CEO,  Dr Prashant P. Joshi says that AIIMS Nagpur continues to provide advanced cancer care and emergency surgical services, reinforcing its commitment to saving lives through timely intervention and multidisciplinary expertise.