Doctors in Thane have successfully treated a 97-year-old woman for a high-risk lower intestinal obstruction, highlighting the importance of timely intervention even in old age.
The woman came to the hospital with symptoms including blood in stools, altered bowel habits, and a persistent sensation of incomplete evacuation. While these symptoms had been present for some time, they were initially overlooked, leading to a delay in diagnosis.
On evaluation at KIMS Hospitals in Thane, clinical examination done by Dr Saneya Pandrowala raised suspicion of a rectosigmoid lesion. Further investigations confirmed the severity of the condition. MRI imaging revealed wall thickening at the rectosigmoid junction, while sigmoidoscopy identified a significantly narrowed segment with a partially obstructing lesion, indicating a high risk of complete bowel obstruction.
Given the woman`s advanced age, the case required careful assessment of surgical risk versus the potential for rapid deterioration if left untreated. After detailed counselling, the decision was made to proceed with surgical management.
The procedure was carried out successfully without complications. She did not need any stoma and primary anastomosis of the intestine was done. The patient showed steady post-operative recovery, with improvement in symptoms and early mobilisation. She was discharged in stable condition within five days.
“Symptoms such as blood in stools, altered bowel habits, or a persistent feeling of incomplete evacuation should always be evaluated, regardless of age. In elderly patients, these may indicate serious underlying conditions, including impending bowel obstruction,” said Dr. Saneya Pandrowala, Consultant GI & HPB Oncosurgery, at the hospital.
Managing surgical conditions in elderly patients requires a balanced approach, taking into account overall health status, functional reserve, and potential risks. With appropriate perioperative care, and timely intervention, favourable outcomes can be achieved even in high-risk age groups.
This case underscores the need for early evaluation of gastrointestinal symptoms and demonstrates that age alone should not be a limiting factor in offering definitive treatment when clinically indicated.
Thane docs save 97-year-old woman suffering from troubling bowel movements
