29/01/2026
#𝐒𝐑𝐌𝐒𝐌𝐞𝐝𝐢𝐜𝐚𝐥𝐌𝐚𝐫𝐯𝐞𝐥𝐬
𝐒𝐑𝐌𝐒 𝐈𝐍𝐒𝐓𝐈𝐓𝐔𝐓𝐄 𝐎𝐅 𝐌𝐄𝐃𝐈𝐂𝐀𝐋 𝐒𝐂𝐈𝐄𝐍𝐂𝐄𝐒 𝐏𝐄𝐑𝐅𝐎𝐑𝐌 𝐑𝐀𝐑𝐄 𝐂𝐀𝐏𝐒𝐔𝐋𝐄 𝐄𝐍𝐃𝐎𝐒𝐂𝐎𝐏𝐘 𝐓𝐎 𝐅𝐈𝐍𝐃 𝐓𝐇𝐄 𝐇𝐈𝐃𝐃𝐄𝐍 𝐁𝐋𝐄𝐄𝐃 & 𝐒𝐀𝐕𝐄𝐒 𝐀 𝐋𝐈𝐅𝐄…
𝘊𝘢𝘱𝘴𝘶𝘭𝘦 𝘌𝘯𝘥𝘰𝘴𝘤𝘰𝘱𝘺 𝘪𝘴 𝘢𝘷𝘢𝘪𝘭𝘢𝘣𝘭𝘦 𝘢𝘵 𝘰𝘯𝘭𝘺 𝘢 𝘧𝘦𝘸 𝘤𝘦𝘯𝘵𝘳𝘦𝘴 𝘪𝘯 𝘐𝘯𝘥𝘪𝘢, 𝘢𝘯𝘥 𝘋𝘦𝘱𝘢𝘳𝘵𝘮𝘦𝘯𝘵 𝘰𝘧 𝘎𝘢𝘴𝘵𝘳𝘰𝘦𝘯𝘵𝘦𝘳𝘰𝘭𝘰𝘨𝘺 𝘢𝘵 𝘚𝘙𝘔𝘚 𝘐𝘔𝘚 𝘯𝘰𝘸 𝘱𝘳𝘰𝘶𝘥𝘭𝘺 𝘫𝘰𝘪𝘯𝘴 𝘵𝘩𝘢𝘵 𝘭𝘦𝘢𝘨𝘶𝘦, 𝘣𝘳𝘪𝘯𝘨𝘪𝘯𝘨 𝘢𝘥𝘷𝘢𝘯𝘤𝘦𝘥, 𝘭𝘪𝘧𝘦-𝘴𝘢𝘷𝘪𝘯𝘨 𝘥𝘪𝘢𝘨𝘯𝘰𝘴𝘵𝘪𝘤𝘴 𝘤𝘭𝘰𝘴𝘦𝘳 𝘵𝘰 𝘱𝘢𝘵𝘪𝘦𝘯𝘵𝘴...
A 𝟔𝟔-𝐲𝐞𝐚𝐫-𝐨𝐥𝐝 𝐦𝐚𝐧 𝐰𝐢𝐭𝐡 𝐜𝐡𝐫𝐨𝐧𝐢𝐜 𝐥𝐢𝐯𝐞𝐫 𝐝𝐢𝐬𝐞𝐚𝐬𝐞 with 𝐜𝐡𝐫𝐨𝐧𝐢𝐜 𝐥𝐢𝐯𝐞𝐫 𝐝𝐢𝐬𝐞𝐚𝐬𝐞 (ethanol + HBsAg related) came to 𝐒𝐑𝐌𝐒 𝐈𝐧𝐬𝐭𝐢𝐭𝐮𝐭𝐞 𝐨𝐟
𝐌𝐞𝐝𝐢𝐜𝐚𝐥 𝐒𝐜𝐢𝐞𝐧𝐜𝐞𝐬 (𝐈𝐌𝐒), 𝐁𝐚𝐫𝐞𝐢𝐥𝐥𝐲 after months of recurrent, debilitating anaemia. Multiple admissions, repeated transfusions, countless visits, yet no clear source of bleeding, was a major challenge. CT abdomen scans, Upper GI Endoscopy, and Colonoscopy revealed little beyond a benign colonic polyp that didn’t explain the severity of his condition.
Instead of stopping there, our clinicians at SRMS questioned the mismatch between the colonoscopy findings and clinical severity. However, choosing clinical wisdom over convenience, the team, led by Dr Shivam Gupta, Consultant, Department of Gastroenterology at SRMS IMS, pursued and identified a mid-gut evaluation and performed video Capsule Endoscopy that became the turning point, revealing multiple actively bleeding Angio ectasias in the proximal jejunum. This confirmed the small bowel as the source, with the colonic polyp serving as an incidental finding. What seemed like a dead end became a life-changing diagnosis, allowing focused treatment and sparing the patient from unnecessary procedures and interventions.
Well, this case reflects how with advanced technology and innovative thinking, lives can be saved when it matters most!
