2.75 kg Kidney set to enter The Guinness Book of World Records

Giant Kidney removed at Sir Ganga Ram makes World Record

New Delhi, April 21: Doctors at SGRH have removed a jumbo kidney weighing 2.75 kgs from a patient. It usurps the place of 2.5 kg sized kidney from the Guinness Book for world record. The size is 20 times more than the normal.

The patient is question was suffering from a medical condition called autosomal dominant polycystic kidney disease (ADPKD). The dimensions of this huge kidney were 33 X 20 X 20 cms. This happens to be the largest kidney removed to date in the world.

The Guinness Book of World Records reports a kidney weighing 2.15 kg as world’s largest kidney which was removed in Dhule, Maharashtra in 2011 the dimensions of that kidney were 33.72 X 14.14 X 15.05 cms.

Last month the patient presented with chronic renal failure with severe pain in abdomen, blood in urine and high grade fever. His condition was deteriorating because of severe infection in kidneys causing the high grade fever, sepsis and blood in urine. He was losing a lot of blood. A decision was taken to remove both the kidneys as life saving procedure. He was undergoing dialysis and had been planned for a kidney transplant.  He was diagnosed to have ADPKD, since one year.

Dr. Manu Gupta, Consultant Urological Surgeon at SGRH who performed the surgery, said, ‘We found the procedure quite challenging. Normal kidneys weigh 130 grams approximately. This kidney weighed 2.75 kgs which is 20 times more and was stuck to the surrounding intestines. It took us 3 hours of difficult dissection to remove the kidney. The second kidney weighing 2.5 kgs was also removed a week later. Altogether, the patient’s body was bearing an extra weight of about 5 kgs.’

 Dr. Vinant Bhargav, Consultant Nephrologist who is now looking after the patient opined that pre-transplant nephrectomies (removal of kidneys) is occasionally necessary in such situations. The patient is recovering well now and awaiting kidney transplant.

Autosomal dominant polycystic kidney disease (ADPKD) is a dominantly inherited genetic systemic disease occurring in 1:700 to 1:1,000 individuals. It is one of the most common inherited disorders with approximately 12.5 million cases worldwide.

The development of multiple kidney cysts results in slowly progressive enlargement of the kidney that leads to chronic kidney disease (CKD) in 50% of patients by the sixth decade. Children of patients are screened young and followed up for life. Patients may present with haematuria, a urinary tract infection (UTI), abdominal pain, an abdominal mass, kidney failure and hypertension.