Chapter 1709 Foreign body in the liver without a history of external injury
“Boss, what did you find?” Su Yun asked after they left the ICU.
“I suspect that the ventilator was inserted wrongly. Too much gas was pumped into the stomach through the ventilator, which eventually caused a series of reactions.” Zheng Ren said.
“That makes sense, and it can be explained, but there are too few medical cases, so there’s no statistical significance.” Su Yun immediately understood and shrugged her shoulders.
Zheng Ren laughed. He just didn’t have the time. If he focused on research, he could write a paper in a few days.
However, a thesis was meaningless to him. He was already a tenured professor at Massachusetts General Hospital, so what was the point of publishing a thesis?
That was what Quan xiaocao should do.
As for himself, the progress bar for the ‘world – famous’ quest was more important.
“What are you doing in the afternoon?” Su Yun asked.
“I don’t know,” “Maybe he’ll sit and read a book, or he’ll go for a walk in the emergency department,” Zheng Ren said.
“Boss, let me tell you a secret.” Su Yun’s eyes narrowed.
“…” Zheng Ren’s heart trembled. Although he did not look at Su Yun, he knew what he wanted to say.
With that tone, the dog would definitely say that uncle ning would be back soon.
All of Zheng Ren’s good mood vanished into thin air.
[They said to quickly write a love song …]
Before Su Yun could say anything, Zheng Ren’s phone rang.
“Hello, director Luo.”
“I’m at ICU. I just came out. “
“Alright, I’ll go check out the situation immediately.” Zheng Ren hung up after he finished speaking.
“What’s wrong? Emergency?”
“No, they said that they took in a patient with a liver abscess, and he looked very strange.” Zheng Ren said.
“What’s there to see about a liver abscess?” Su Yun said,”anti – inflammatory treatment to the right symptoms. If it doesn’t work, puncture drainage under ultrasound positioning. There must be a suitable one.”
“How could director Luo not know what you’re talking about? He said that there’s a problem, so it must be something else. ” As Zheng Ren spoke, he quickened his pace.
The two of them quickly arrived at the digestive Department. Zheng Ren glanced at Department Director Luo and saw that he was not in the doctor’s office, so he went straight to the director’s office.
He knocked on the door, and director Luo’s voice came from inside. Zheng Ren pushed the door open and went in.
“Boss Zheng, come and take a look at this video.” Department Director Luo glanced at Zheng Ren, then looked back at the scan on the scanner beside him.
Zheng Ren walked over and took a look. A 7×3 cm pustule could be seen on the right lobe of the liver. It was thin and long, and protruded out of the surface of the liver.
Uh … What the hell is this?
If it was a patient with external injuries, Zheng Ren would not hesitate. However, based on the scan from the gastrointestinal department, it should be an Internal Medicine system disease.
But what was this dense substance? Liver stones? However, it was too big and too thin, so it didn’t look like it.
“Boss Zheng? Take a look at this!” Director Luo asked.
“Does the patient have a history of external injuries?” Zheng Ren asked directly.
“No, that’s what’s strange.” Department Director Luo said,”he said that he has no history of external injuries or surgery.”
The patient was a 41 – year – old male patient who had a fever for an unknown reason a month ago. At first, he thought it was a cold or a fever and went to the local clinic for treatment. After taking antibiotics for two weeks, she didn’t feel any better, so she went to the county. When I took a chest scan, I found a liver abscess, so I did this CT scan. “
“The medical history is that simple?” Zheng Ren squinted at the liver CT scan. He had already confirmed that it was a foreign object.
However, the patient had no history of surgery or any external injuries, and the foreign object was teleported in? Or was it placed there by a higher dimensional being?
This was simply too strange.
“No matter how I look at it, I think it’s a foreign object.” Department Director Luo was staring at the x – ray.”When I went out for consultation today, I saw the patient’s x – ray and thought about it. I can’t be sure, so I’ll ask boss Zheng to take a look. “
“Director Luo, I wouldn’t dare.” “I also think it’s a foreign object, and it’s a rather sharp one,” Zheng Ren said politely. However, it’s strange that he doesn’t have a history of external injuries. Are you sure?”
When discussing the illness, Zheng Ren gave up on being reserved and asked very directly.
“In order to confirm this, I looked at the skin on the patient’s chest and abdomen. There is no damage or surgical scar. I’ve also looked around the belly button, and I’ve never performed single – site laparoscopy before. ” Director Luo said.
Zheng Ren started to hesitate.
Department Director Luo was indeed very experienced. He had already thought of everything that he could think of.
In fact, to eliminate the possibility that the patient could not describe the situation clearly or had forgotten some medical history, he even ruled out these possibilities during the physical examination.
There were no external injuries, but there was a foreign object. This was too strange.
A CT scan of the abdomen could not explain the problem. Zheng Ren began to frown and ponder as he performed three – dimensional reconstruction.
However, the result of the three – dimensional reconstruction was certain. From the density of the internal part of the abscess, it was a sharp and slightly hard object.
It was not as dense as iron, and it was not something like a bullet.
Could it be that the liver really grew out on its own?
Zheng Ren started to search for information about liver gallstones.
In clinical terms, hepatolithiasis was known as hepatolithiasis. It referred to gallstones in the bile ducts in the liver, and it could also be simple primary hepatolithiasis.
However, the most common possibility was that the stones in the common bile duct would accumulate upstream.
But this didn’t make sense either. Liver stones … Even stones weren’t so sharp and long. Were these liver stones like a stone Forest?
Pierce the bile duct, penetrate the surface of the liver, and finally cause a serious abscess?
Zheng Ren felt that this possibility was almost non – existent.
He had been reading papers, journals, and journals for a long time, but he had never seen any case where the stones accumulated in the bile duct in the liver formed a sharp needle that pierced the liver.
“Do you have any ideas, boss Zheng?” Director Luo asked.
“I don’t have any idea at all, but I think it’s necessary to perform an exploratory surgery to analyze the situation based on the patient’s condition,” Zheng Ren said with certainty as he looked at the x – ray.
“Yes, that’s why I asked you to come.” Department Director Luo did not hide anything and said directly,”What exactly is the foreign object? are you confident in the surgery?”
“It’s a minor surgery, but we’ll only know what it is when we make an incision or remove the foreign object using a laparoscope. ” Zheng Ren said.
Department Director Luo laughed.
Zheng Ren’s answer and his own question were two completely different things.
When he asked boss Zheng if he was confident in the surgery, boss Zheng’s full attention was on what the foreign object in the patient’s body was.
Boss Zheng had probably never considered whether the surgery would fail.
Perhaps for boss Zheng, it was normal for such a difficult surgery to be successful. Failure was an extremely coincidental situation.
In fact, he was not even within the scope of consideration for the time being.
He was truly a young man full of vigor and confidence! Department Director Luo looked at Zheng Ren and smiled.”I’ll send you the patient’s phone number. I won’t bother with the rest. If you want to perform surgery or do a live broadcast, let me know in advance. I’ll go up and take a look.”