It is about my own elder brother (71 years) who had his left kidney removed 8 years ago for Renal Cell Carcinoma. He is diabetic that is controlled with a minimum dose of insulin. Everything went smooth for the last eight years. 4 months back he was involved in a traffic accident which broke both bones of his right had, right clavicle, right femur and ilium. He had a not so bad recovery and had begun to walk with support.

He began to develop constipation about 6 months back, which was mild in the beginning and mostly relieved with mild laxatives or with some fruits having good fibre content. Constipation gradually aggravated and he was forced to take some strong laxatives and purgatives. We never thought about any physical obstruction until a CT scan of the abdomen indicated some growth around the peri nephric area (of the removed kidney). A true cut Biopsy proved it to be…