Men, pregnant, this statement is similar to the various tidbits published in the gossip tabloids sold at train stations in the past.
Lin Yuan must have never read this kind of nutritious tabloid, not even the older Zheng Ren and Su Yun. It was a product of the early days of reform and opening up, and was even a few years older than street stall literature.
Gao Shaojie knew it, but he didn't think about it. Instead, he concentrated on looking at the video data.
On the earliest film, the abdominal mass was 10×12×6cm in size, and it showed areas of fat density and soft tissue shadows.
There are other images, for example, there is a piece that Gao Shaojie thinks is a rib, and another piece that he thinks is a calf.
The liver is vaguely visible, but there is no heart.
If Gao Shaojie were asked to only look at one film for diagnosis, he would think it was a teratoma. Although it was somewhat different from a standard teratoma, he didn't think there was any other diagnosis.
But when the two films are compared, a problem arises.
The most recent X-ray showed that the mass was 28×25×18cm in size and ranged from the lower edge of the liver in the upper abdomen to the pelvic cavity.
The mass showed areas of fatty density and soft tissue, followed by calcified tissue of varying sizes and shapes similar to vertebrae, ribs, and long bones.
Compared with the front piece, these tissues keep growing, rather than stopping growing. No wonder Su Yun and Feng Jianguo thought it was...pregnant.
Over time, the tumor grows larger and begins to compress surrounding organs. The patient had partial intestinal dilation and intestinal peristalsis disorders. In other words, the patient's most recent visit was to the hospital because of incomplete intestinal obstruction.
"Well, there's nothing wrong with saying she's pregnant." Zheng Ren looked at the movie with his arms folded and said in a deep voice, "It's a typical parasitic fetus. Get ready for surgery."
"I'll tell you!" Feng Jianguo made a fist with his left hand and hit it on his right hand, making a muffled sound.
"Brother Feng, you haven't seen it before, right?" Su Yun asked.
"Well, I've heard of it, but I've never seen it. This is the first time I've seen images of parasitic fetuses. I've seen them in books before." Feng Jianguo didn't feel embarrassed and admitted frankly.
"I haven't seen it either. Boss, have you seen it?"
"No, the chance is one in 500,000. It's not that easy to see. According to the probability and condition, it should be more common at the Women's and Children's Hospital." Zheng Rendao: "Generally, it is found after the child is born. Something's wrong. Either it's constantly getting hot, or..."
"I have seen a photo of a child with three legs. It was finally diagnosed as a parasitic fetus and he had an operation at 5 months old," Su Yundao said.
"It seems like it's not easy to live together for 24 years." Zheng Ren said: "You can see that the parasitic fetus has abdominal organs, but it has no brain and heart. There is no point in keeping it."
Feng Jianguo said: "Boss Zheng, then I admitted the patient?"
"Huh?" Zheng Ren glanced at Feng Jianguo.
"I've never done it before. Let me see you do it once." Feng Jianguo said with a smile.
"I haven't done it either..." Zheng Ren said helplessly. However, he did not object to Feng Jianguo's suggestion. If he encountered a case with a chance of one in hundreds of thousands, he would be lying if he said he did not want to undergo surgery.
This is accumulated rich clinical experience.
"The fetus of the parasitic fetus is still growing, and it is probably connected by blood supply." Feng Jianguo said: "I don't dare to do it."
"Free, just find the blood vessel and ligate it. Brother Feng, what you said is too false."
"The key is..." Feng Jianguo said with a forced smile: "Aren't you a little scared to go on stage? With Xiaocao, I was afraid that she would faint from fear."
"Science, science!" Su Yun emphasized science and asked, "What is there to be afraid of?"
"I know the mother of this patient. She was a classmate of mine in elementary school. I was still in school when she was pregnant. I heard from her that she met a fortune teller and said they were twins, or a boy and a girl."
“Then I only gave birth to one child, but I didn’t expect it to come true here.”
"Ha, is there really such a fortune teller?" Su Yun said with a smile: "Don't believe that thing. The kind that asks about the birthday and horoscope at first glance, there is a high probability that there is some explanation. But when he first said that he was pregnant, he was pregnant with twins. That’s a bit nonsense.”
"Hey." Feng Jianguo laughed dryly, not knowing what he was afraid of in his heart.
Maybe the man is pregnant? Maybe it was the parasitic fetus that had been growing inside the body for 24 years
Zheng Ren suddenly thought of Master Song. Logically speaking, the parasitic fetus was more like a demon fetus.
"Okay." Zheng Ren ended the conversation, "Brother Feng, bring the patient in. You can prepare for the operation and find time to perform the operation."
"Brother Feng, we are going to do TIPS in the morning. We can't delay this matter. Let's have lunch at noon and do it in the afternoon?" Su Yun immediately added.
"no problem."
Zheng Ren carefully looked at other imaging data and the blood test data at the local hospital. After finally confirming that it was correct, he collected the data and handed it to Feng Jianguo.
"Boss Zheng, I'm leaving then," Feng Jianguo said.
After he left, Lin Yuan sighed with emotion: "I saw abdominal organs. Could it be that the organs of the parasitic fetus are functional?"
"What's all the fuss about?" Su Yun said disdainfully: "Generally speaking, parasitism is a rare disease caused by the abnormal development of monochorionic diamniotic twins. There are irregular-shaped swellings in the capsule that look like fetuses. Upon careful inspection, the head, body and rudimentary limbs can be distinguished, and there are finger-like objects at the ends of the limbs.”
"To put it simply, they are deformed twins." Zheng Ren said. "To put it crudely, one of the dominant individuals has absorbed almost all the nutrients, and the other one has difficulty growing."
"Boss, your explanation is not rigorous." Su Yundao said.
"To put it simply, under the microscope, the parasitic fetus is wrapped in a fibrous capsule covered with a single layer of epithelium or squamous epithelium, and various mature components can be seen: bone, intestinal tissue, brain tissue, adipose tissue, and respiratory epithelium."
"The one just now, I saw it had a head, but it was empty inside." Lin Yuan thought, and seemed a little scared.
In particular, the dominant individual absorbs most of the nutrients in the mother's body. This explanation is even more ghostly and weird.
"This patient's parasitic fetus has no brain tissue, but the image of the developed uterus can be seen." Zheng Rendao, "If it grows normally, it should be a twin. It's a pity that my sister has not developed a heart and brain..."
"Boss, have you ever heard of the kind where everything is fully developed?" Su Yun suddenly asked.
You can't dwell on this matter, the more you think about it, the more gloomy it becomes. What would it look like if they all developed and one twin was in the other's abdominal cavity
Breaking out of the cocoon or...
Lin Yuan shivered. She looked out the window and saw that the sky was a little cloudy, so she became even more scared.