The Surgeon’s Studio

Chapter 1724: 1709 Foreign body in liver without history of trauma

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"Boss, what have you found?" Su Yun asked after leaving the ICU.

"I suspect that the ventilator was inserted incorrectly, and too much gas was injected into the stomach through the ventilator, which ultimately caused a series of reactions." Zheng Rendao.

"It makes some sense and can be explained, but there are too few cases and there is no statistical significance." Su Yun understood immediately and shrugged.

Zheng Ren smiled. He just didn't have time. If he concentrated on studying knowledge, he could publish a paper in a few days.

But the paper is meaningless to me. He is a tenured professor at Massachusetts General Hospital and has published a nonsense paper.

That's what Quan Xiaocao should do.

As for myself, the world-famous task progress bar is important.

"What are you going to do in the afternoon?" Su Yun asked.

"I don't know." Zheng Ren said, "Maybe I'll sit and read a book, maybe I'll go for a walk in the emergency department."

"Boss, let me tell you a secret." Su Yun narrowed his eyes.

"..." Zheng Ren's heart trembled. Although he didn't look at Su Yun, he knew what he wanted to say.

With this tone, he would definitely say that Uncle Ning would be back soon.

All Zheng Ren's good mood disappeared.

They said they should write a love song soon...

Before Su Yun could speak, Zheng Ren's cell phone rang.

"Hello, Director Luo."

"I'm in the ICU and just came out."

"Okay, let's go check on the situation right away." After Zheng Ren finished speaking, he hung up the phone.

"What's wrong? Emergency?"

"No, it's said that he admitted a patient with liver abscess. He looked very strange." Zheng Ren said.

"What's so good about liver abscess?" Su Yundao said, "Anti-inflammatory and symptomatic treatment, if not, just puncture and drainage under B-ultrasound positioning. There is always a suitable method."

"Do you know what Director Luo you are talking about? He said he suspected something was wrong. It must be something else." Zheng Ren said, walking faster.

The two of them quickly came to the Department of Gastroenterology. Zheng Ren took a glance and saw that Director Luo was not in the doctor's office, so he went straight to the director's office.

Knocking on the door, Director Luo's voice came from inside. Zheng Ren pushed the door open and went in.

"Boss Zheng, let's take a look at this film." Director Luo glanced at Zheng Ren, and then returned his eyes to the film on the reader next to him.

Zheng Ren walked over and took a look. A 7x3cm abscess was visible in the right lobe of the liver, with an elongated shape and protruding from the liver surface.

Uh... what the hell is this

If it were a trauma patient, Zheng Ren would have no hesitation. However, the films seen in the Department of Gastroenterology, logically speaking, should be diseases of the internal system.

But the essence of high density, what is it? Liver stones? But it's also too big and too thin, so it doesn't look like it.

"Boss Zheng? What do you think this is?" Director Luo asked.

"Does the patient have a history of trauma?" Zheng Ren asked directly.

"No, that's what's strange." Director Luo said: "The self-reported case has no history of trauma or surgery.

The patient is a 41-year-old male. He had an unexplained fever one month ago. He initially thought it was a cold or fever, so he went to a local clinic for treatment. I took antibiotics for two weeks but didn't see any improvement, so I went to the county seat. During the chest X-ray, a liver abscess was found, so a CT scan was performed. "

"The medical history is so simple?" Zheng Ren squinted at the liver CT scan. He was already sure that it was a foreign body.

But the patient has no history of surgery or trauma, so the foreign body was teleported in? Or was it put directly in by high-dimensional creatures

This is simply too weird.

"I feel like it's a foreign object." Director Luo stared at the film. "When I went to the clinic today, I saw the patient's film and I kept thinking so. I'm not sure, so I asked Boss Zheng to take a look."

"Director Luo, don't you dare." Zheng Ren was polite and said: "I also think it is a foreign object, or a relatively sharp foreign object. But it is strange that there is no history of trauma. Can you be sure?"

When discussing his condition, Zheng Ren gave up being reserved and asked directly.

"To confirm this, I looked at the skin of the patient's chest and abdomen. There was no damage or surgical scars. I also looked around the belly button, and I had never done a single-port laparoscopy," Director Luo said.

Zheng Ren began to hesitate.

Director Luo is indeed very experienced. He has thought of everything he can think of.

Even in order to rule out that the patient had unclear narratives or forgot some medical history, he directly ruled out these possibilities during the physical examination.

There is no external injury, but there is a foreign body. This is very strange.

A plain CT scan of the abdomen could not explain the problem. Zheng Ren began to frown in thought and started a three-dimensional reconstruction.

However, the results of the three-dimensional reconstruction are positive. Judging from the internal density of the abscess, it appears to be a sharp and slightly sharp hard object.

The density is not as high as iron, let alone something like a bullet.

Did it really grow on the liver itself

Zheng Ren began to search for information on liver stones.

Clinically, liver stones are so-called intrahepatic stones, which refer to stones in the bile canaliculi in the liver. They may also be simple primary intrahepatic stones.

But the most common possibility is that stones in the common bile duct accumulate upstream.

But that doesn't make sense. Liver stones... can't stones in the liver be so sharp and slender, like stones in the stone forest

Puncture the bile canaliculi, pierce the surface of the liver, and eventually cause a severe abscess

Zheng Ren believes that this possibility is almost non-existent.

I have read papers, journals, and magazines for so long, but I have never seen any case where the accumulated stones in the intrahepatic bile canaliculi formed sharp, sharp needles and pierced the liver.

"Do you have any ideas, Boss Zheng?" Director Luo asked.

"I have no idea at all, but based on the patient's condition, I think it is necessary to perform exploratory surgery." Zheng Ren said with certainty while holding his arms while watching the film.

"Well, that's why I came to you." Director Luo didn't hide anything and said directly: "What exactly is the foreign body? How confident is the operation?"

"The surgery is a minor operation, but you have to make an incision or take out the foreign body under laparoscopy to know what it is." Zheng Rendao.

Director Luo smiled.

What Zheng Ren answered and what he asked were completely different things.

I asked him whether the operation was reliable, but Boss Zheng focused all his attention on what the foreign body was in the patient's body.

Boss Zheng probably has not considered whether the operation will fail.

Perhaps for Boss Zheng, it is normal for such a difficult operation to be successful. Failure is a very rare situation.

It's not even within the scope of consideration for the time being.

What a young man full of energy and confidence! Director Luo looked at Zheng Ren and smiled and said: "I will send you the patient's phone number, and I will not care about the rest. If you want to do surgery or live broadcast, please tell me in advance and I will go up and take a look."