Zheng Ren stood in front of the radiographic film viewer, holding his chin as he looked at the radiographic films.
"Boss Zheng, I don't think it's a tumor." Professor Feng expressed his judgment first.
"Well, I think not. Only the periphery has blood supply. The middle should be fecal stones, "Zheng Ren said.
"Disease …" Quan Xiaocao wanted to say something but swallowed her words after only saying one word.
"Xiaocao, don't be a coward. Say what you have to say. What are you afraid of? If you say something wrong, I can't eat you, "Su Yun encouraged her.
Quan Xiaocao's hair was dyed today. There was a trace of green in her black hair. The more he looked at her, the more she looked like a blade of grass.
"Yes … Yes …" Quan Xiaocao lowered her head and looked at her toes, as if regretting that she had spoken just now.
"If you're so cowardly, what will you do if something happens in the future?" Su Yun's attitude towards Quan Xiaocao seemed to have always been very gentle. He encouraged Quan Xiaocao.
"The patient's defecation and exhaust have always been normal." Quan Xiaocao expressed her opinion like a mosquito.
"This is indeed a problem," Zheng Ren said. "There is defecation and exhaust, which means that the intestinal peristalsis is normal."
"I heard the sound of the intestines. It's four to five times per minute," Feng Jianguo added.
Zheng Ren looked at the radiographic films silently. There was already a relevant diagnosis in his mind.
"A huge space-occupying lesion. There are no images of blood vessels inside. Not considering active substances, the possibility of fecal stones is very high," Zheng Ren reiterated again.
Quan Xiaocao was a little confused. Didn't she already say that the patient's defecation was normal?
If there was such a large fecal stone, the intestinal obstruction must be very serious. Qi and liquid level … Although it was not a vertical abdominal plain film, it would still be shown on the CT.
During this period of time, Quan Xiaocao had crammed on clinical knowledge. She felt that her level had improved a lot.
However, when facing Boss Zheng, she could not help but feel afraid, no matter how ridiculous Boss Zheng's words were.
She did not have the courage to question Boss Zheng, the Nobel Prize candidate, the 'superior' doctor who was as dazzling as the rising sun.
"How is the patient now?" Zheng Ren asked.
"Severe abdominal distension accompanied by tearing pain. He can't eat, drink, or lie flat." Feng Jianguo saw Quan Xiaocao looking at the ground and knew that her mind was blank, so he introduced the patient's current condition to Boss Zheng.
Quan Xiaocao was diligent, kind, and willing to work. Feng Jianguo felt helpless about this. No matter what, he was just a little too cowardly.
"Tell me your opinions," Zheng Ren said softly as he looked at the radiographic films.
Feng Jianguo was stunned. What did that mean?
Did Boss Zheng want to test him?
"Boss Zheng, I agree with you. I don't think it's a tumor. But if it's a fecalith … we still need to do a CT scan to see, "Lin Yuan said directly.
Feng Jianguo glanced at Lin Yuan. When did Boss Zheng have another female doctor by his side?
It was not common for doctors in the country to leave their white coats unbuttoned. It was either some department directors who did not know how to button their shirts, or there were occasionally young doctors who did not know how to act cool.
"Lin Yuan, didn't you think …" The corner of Su Yun's mouth had just revealed a cunning smile when he paused for a moment. In a gentle tone, he said, "You have to think about it more, boss. My diagnosis is that the transverse and descending colon are deformed."
Zheng Ren nodded.
"Brother Feng, let's do the emergency surgery." Zheng Ren said, "I'll go take a look at the patient. Su Yun's diagnosis should be correct. The patient has colon deformity. There are fecalith in the extra intestine in the middle, pressing on the abdominal organs and diaphragm."
"…" Feng Jianguo saw that Zheng Ren was going to see the patient and immediately said, "Boss Zheng, I've also considered this rare disease, but generally speaking, gas images can be seen in the repetitive intestine."
"We can consider this for the time being. The patient has been sick for a long time, and the hyperplasia of the abnormal intestine is blocked by fecalith." Zheng Ren smiled. "Give me the stethoscope."
When Quan Xiaocao heard Zheng Ren's words, she immediately took out the stethoscope from her pocket.
However, when she looked up, she saw that the female doctor next to Boss Zheng had already handed the stethoscope to him.
"Take a look at the patient," Zheng Ren said. "Whether it's intestinal duplication or not, we have to do an exploratory laparotomy. If it is, it'll be more troublesome than cutting out a tumor. "
Feng Jianguo knew what Boss Zheng meant. Although the surgery for intestinal duplication was relatively simple, there were so many fecalith in it that it was almost certain that the patient would have a serious infection. It was very likely that the intestine would be left empty and waiting for the second stage of anastomosis.
These treatments gave him a headache just thinking about it.
It was better to take a look at the patient first. Feng Jianguo led the way to the ward.
"The patient was admitted today. His stomach seems to be pregnant. The situation inside is probably very serious." Feng Jianguo explained the situation to Zheng Ren.
Zheng Ren nodded.
When he entered the ward, Zheng Ren saw a male patient rolling on the bed.
His stomach was bulging, just as Feng Jianguo had described, like a pregnant woman who was ten months pregnant.
It was probably because the abdominal pressure was extremely high. No matter how he lay down, it was very uncomfortable. It was difficult to find a way to let him lie down comfortably for a while.
It was said that sick people were anxious and uncomfortable. Who could speak calmly?
Moreover, the patient had been suffering from abdominal distension for more than ten to twenty years. After a long period of torture, his entire life was like sinking into hell.
The System's panel appeared bright red. The diagnosis was the same as Zheng Ren's judgment: transverse and descending colon duplication. There were also a bunch of other diagnoses, but they were all other complications that were not very urgent. Zheng Ren did not care.
He listened to the patient's bowel sounds. It was normal.
He asked about the patient's medical history. The patient had not eaten properly for three to four days. Recently, he had almost no bowel movements, but his exhaust was normal.
Zheng Ren already had an idea of the overall treatment.
He performed a physical examination on the patient, confirmed his judgment, and then left the ward.
"Brother Feng, do preoperative preparations. You have the next consultation," Zheng Ren said.
"It's okay. If you want to come up, just do it. There's no need for a consultation," Feng Jianguo said with a smile.
Boss Zheng was a doctor from the general surgery department. Feng Jianguo had long known that he would be soft-hearted when he saw rare diseases.
"No," Zheng Ren said. "Preoperative enema, and then intraoperative recyclable intestinal stent."
"Huh?" Feng Jianguo was stunned.
Surgery combined with interventional surgery? There did not seem to be such a method.
"Recyclable intestinal stent? Is it to block the intestinal growth opening to prevent fecal stones from flowing back and contaminating the wound? "Lin Yuan asked with a frown.
"As expected of a doctor from Harvard. Your judgment is correct!" Su Yun said from the side.
He was beaming with joy. There was no trace of sarcasm in his words.
Lin Yuan's frown deepened. She looked at Su Yun cautiously, as if guarding against a thief.
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