Noida Extension, July 08: Yatharth Super Speciality Hospital, Noida Extension, has successfully treated a 63–year–old patient from Delhi who was suffering from massive internal bleeding and whose chances of survival were estimated at just 1%. During the course of treatment, more than 25 units of blood were transfused. Despite his extremely critical condition, the multidisciplinary team at Yatharth Hospital successfully saved his life through a complex Endovascular Aortic Repair (EVAR) procedure. The patient had earlier been denied treatment by two leading hospitals in Delhi due to the severity of his condition.
The patient had been experiencing continuous back pain, weakness, and blood in the stool for nearly two weeks. Further investigations revealed a severe Abdominal Aortic Aneurysm (AAA)—a dangerous enlargement of the abdominal aorta, the body’s main blood vessel. The aneurysm had also caused an Aortoenteric Fistula, an abnormal connection between the aorta and the small intestine, resulting in persistent internal bleeding through the gastrointestinal tract. As a result, his blood pressure dropped to dangerously low levels, making the condition life-threatening.
Initial endoscopic evaluation detected multiple ulcers in the small intestine, which were temporarily treated using Argon Plasma Coagulation (APC) to control the bleeding. However, since the underlying vascular problem remained untreated, the bleeding recurred. Before reaching Yatharth Hospital, the patient had already received multiple blood transfusions, but his condition continued to worsen.
After being admitted to the Critical Care Unit (CCU) at Yatharth Super Speciality Hospital, Noida Extension, a multidisciplinary team comprising specialists from Cardiothoracic & Vascular Surgery (CTVS), Gastroenterology, Cardiology, Critical Care, and Internal Medicine jointly evaluated the case and developed a comprehensive treatment plan.
On June 20, 2026, the patient successfully underwent Endovascular Aortic Repair (EVAR), a minimally invasive procedure that effectively sealed the aneurysm and stopped the life-threatening bleeding.
The patient‘s recovery was steady and encouraging. A capsule endoscopy performed on June 23, 2026, confirmed that the small intestinal ulcers were healing well and there was no fresh bleeding. With continued medical therapy, close monitoring, and expert post-operative care, the patient made a full recovery and was discharged in stable condition.
Commenting on the case, Dr. Jeevan Pillai, Director – Cardiothoracic & Vascular Surgery, Yatharth Super Speciality Hospital, Noida Extension, said: “Abdominal Aortic Aneurysm (AAA) is a potentially fatal condition because its early symptoms are often subtle or overlooked. This patient presented in an extremely critical condition, but timely diagnosis, advanced EVAR technology, and seamless coordination among multiple specialties enabled us to save his life. Persistent abdominal or back pain, blood in the stool, or sudden unexplained weakness should never be ignored. Although cases like these are rare, early diagnosis and prompt intervention are crucial. Adopting a healthy lifestyle and balanced diet can also help reduce the risk of several serious vascular diseases.”
Dr. Hardik Ahuja, Consultant – Gastroenterology & Hepatology, Yatharth Super Speciality Hospital, Noida Extension, added: “This was an exceptionally complex and rare case because the patient had ongoing massive gastrointestinal bleeding. Through advanced diagnostic techniques, including balloon enteroscopy and capsule endoscopy, we were able to identify the actual source of the bleeding. Close collaboration between the Gastroenterology and CTVS teams ensured that the bleeding was completely controlled, allowing the patient to recover safely and return home.”
This remarkable case demonstrates that even the most complex vascular emergencies can be successfully managed through timely diagnosis, multidisciplinary collaboration, and advanced minimally invasive procedures such as EVAR, offering hope to patients with extremely poor chances of survival.