"It should be the cap of a beverage bottle." Li Yufen said anxiously, handing the film bag to Director Wei.
"I also heard what the teacher said. Several children were playing, but for some reason, the child got stuck by a foreign object. It was a mess at the time. The teacher came to help, but did not take pictures. He said that he swallowed the bottle cap directly."
Generally speaking, it is more common for children to swallow coins. Bottle caps... Although they are about the same diameter as coins, they are thicker and are not as easy to spot as coins in terms of imaging.
After all, normally, plastic items are not visible under X-rays.
If you look carefully, you can find a slight difference in the density of the image, but it is difficult to see it at a glance like a metal substance like a coin.
This is a bit troublesome.
"Later... I rushed to the kindergarten after receiving the call and immediately took the child to a nearby hospital." Li Yufen was a little anxious, but the narration of the medical history was clear and understandable.
"The child was quite normal at the time, but it scared me. I went to the hospital for a check-up. The doctor felt my stomach and found no pain or other symptoms. It looked almost the same as usual. At that time, I gradually became calmer. I think it might be okay.”
"Later, I did a plain abdominal X-ray. The doctor in the emergency department didn't see the location, so I went to the inpatient department to see it."
"A bunch of directors and professors came to watch the film and finally confirmed that the bottle cap had passed through the stomach and had reached the intestines."
With that said, Li Yufen took out a piece of film in chronological order.
This person is very organized, anxious but not chaotic, and can always stay rational, which is very rare.
If the change is careless, it is not uncommon to forget to bring the film. I went back to pick up the film and went back and forth for several hours.
Director Wei picked up the film and Zheng Ren leaned over.
This is just a condition briefing room. In order to prevent the patient's family members from losing control of their emotions, tables and chairs are embedded in the ground.
The reader was not installed, so Director Wei held the film and looked at the light.
It was a chest and abdominal X-ray, and the radiologist finally ordered a X-ray.
The doctor in the radiology department was also thoughtful. He probably asked the child to stand on the machine, searched for many angles, and finally found the position before ordering the X-ray.
After all, plastic bottle caps are different from metal coins. If it were a metal coin, you could see it if you stood on it and took a photo directly.
Even so, the image was still blurry.
Director Wei squinted at the film and saw that the child's lower abdomen was completely white.
There were a few places with slightly different densities, and Director Wei and Zheng Ren investigated them bit by bit.
No wonder Li Yufen said that the doctors in the emergency department did not dare to judge. In the end, many professors consulted and said that the bottle cap had reached the intestines.
From this spot sheet, it is difficult to find the location of the bottle cap.
After watching for three minutes, Zheng Ren clicked on a spot on the lower abdomen and said, "Director Wei, is this here?"
"I also suspect it is here." Director Wei did not ask Zheng Ren to treat him as a junior doctor, but said in a discussion tone.
"Then what? What do they say?" Zheng Ren asked.
Li Yufen looked at Zheng Ren and Director Wei with some surprise, and then glanced at Zheng Ren, and then said: "After the consultation, the professor said that there should be no big problem, and asked me to pay attention to the child's stool in the past few days, as it may be passed out at any time."
"No arrangement?" Director Wei asked.
"No." Li Yufen said firmly: "I checked carefully during both bowel movements. Even if there is only half a bottle cap left after digestion, I can still find it."
Alas, Zheng Ren sighed inwardly.
I pity the hearts of parents in the world.
He could even imagine that the child had not flushed the toilet for the past two days. Every time he finished defecating, Li Yufen would look at it little by little with anticipation.
Being a parent is really not easy.
"It was observed yesterday morning that the child had pain in the right lower abdomen." Li Yufen said: "I took the child to the hospital again and took a second film. The doctor said that the position of the bottle cap had not changed, and they could not figure out what was going on. .Normally speaking, it should be discharged.”
With that said, she took out the second film and handed it to Director Wei, then took the first film, checked the date on it, and put the film back into its original film bag.
The image of this film is similar to the first film, except that the position of increased density has slightly changed due to the body position and the doctor doing the film.
But after Zheng Ren reconstructed it, he believed that the bottle cap had indeed remained in place.
But there are still differences between the two films.
In the first X-ray, the small intestine was normal. In the second film, there is distension in the proximal small intestine.
"The child's stomach pain got worse today, so I took him to the hospital to take a third picture." Li Yufen took out the last picture and handed it to Director Wei.
This picture shows that the position of the bottle cap has not changed, it is still on the right lower abdomen. The difference is that the flatulence in the proximal small intestine increases, and the intestinal tube can be seen to be more obviously dilated.
Coupled with the patient's mother's narration, Zheng Ren considered that he already had symptoms of acute inflammation, accompanied by acute intestinal obstruction.
Strange, where is this stuck
Zheng Ren would still understand if it were a coin or other blunt object stuck in a certain position.
Although it is a small probability event, since the parents of the children can call 912, it proves that it is something that nearby hospitals cannot solve.
So Zheng Ren can accept small probability events.
However, unlike blunt objects, bottle caps have slightly sharp edges.
This kind of sharpness is not enough to cut the stomach wall or intestinal wall, but the intestinal wall tissue has a self-protection function and will have an avoidance reaction when encountering sharp stimuli.
It is not the autonomous consciousness of human beings, but a self-protection instinct of the body.
The slightly sharp edge of the bottle cap will irritate the intestines, avoid damage, and enhance emptying.
Normally it should be excreted within a day, so why is it stuck in the intestines
Zheng Ren couldn't understand.
Just as Director Wei was about to put down the film, Zheng Ren took it and looked at it carefully under the light.
"Did you have a bowel movement yesterday or today?" Zheng Ren asked.
"Yes, but not much, a bit sparse."
At least an incomplete intestinal obstruction can be diagnosed, but this is rather strange.
It's not a big thing, and the intestines are still very flexible. Why is it stuck
Strange thing!
Zheng Ren thought about several possibilities one after another, but none of them were very big and could not be stated as a diagnosis.
Director Wei had already made an appointment with Li Yufen to bring the child to the hospital.
Depending on the situation, emergency surgery may be necessary to remove the bottle cap.
Although Li Yufen looked distressed, she had no choice but to call and ask her lover to send the child over.
"Boss Zheng, what do you think?" Director Wei asked.
Zheng Ren couldn't understand either. In front of Director Wei, there was no need to talk about those weird and bizarre speculations.
He shook his head slightly, preparing to wait until the patient arrived.