Man, pregnant. This statement was similar to the gossip tabloids sold at train stations in the past.
Lin Yuan had never read such meaningless tabloids before. Even Zheng Ren and Su Yun, who were slightly older, had never read them before. It was a product of the early days of reform. It was even a few years older than the stalls.
Gao Shaojie knew, but he did not think about it. Instead, he focused on looking at the images.
On the earliest radiographic films, the abdominal mass was 10 × 12 × 6c. It showed fat density areas and soft tissue shadows.
There were other images, such as a rib that Gao Shaojie thought was, and a calf that he thought was.
The liver could be vaguely seen, but there was no heart.
If Gao Shaojie only looked at one radiographic film to make a diagnosis, he would think it was a teratoma. Although there were some differences from the standard teratoma, he did not think there was any other diagnosis.
However, when the two radiographic films were compared, the problem appeared.
The most recent radiographic film showed that the size of the lump was
28 × 25 × 18c. The lump ranged from the lower edge of the upper abdomen to the pelvic cavity.
The lump showed fat density areas and soft tissue. There were also calcified tissues of different sizes and shapes similar to vertebrae, ribs, and long bones.
Compared to the previous pieces, these tissues were constantly growing instead of not growing at all. No wonder Su Yun and Feng Jianguo thought it was … pregnancy.
As time passed, the lump grew larger and began to press on the surrounding organs. Some of the patient's intestines were dilated, and intestinal peristalsis was obstructed. In other words, the patient's most recent visit was because of incomplete intestinal obstruction.
"Well, there's nothing wrong with saying it's pregnancy." Zheng Ren crossed his arms and looked at the radiographic films. He said in a deep voice, "It's a typical parasitic fetus. Prepare for surgery."
"I knew it!" Feng Jianguo clenched his left fist and smashed his right hand, making a muffled sound.
"Brother Feng, have you never seen it before?" Su Yun asked.
"Yes, I've heard of it, but I've never seen it before. This is the first time I've seen the image of a parasitic fetus. I used to read about it in books. "Feng Jianguo was not embarrassed and admitted frankly.
"I've never seen it before either. Boss, have you seen it before? "
"No, the probability is one in 500,000. It's not that easy to see. According to the probability and condition, the women's and children's hospital should be a little longer, "Zheng Ren said." Usually, after the child is born, they find something wrong. Either it keeps heating up, or … "
"I've seen a picture of a child with three legs. The final diagnosis was a parasitic fetus. He underwent surgery when he was five months old," Su Yun said.
"It's like living together for 24 years. It's really not easy." Zheng Ren said, "You can see that the parasitic fetus has abdominal organs but no brain or heart. There's no point in keeping it."
Feng Jianguo said, "Boss Zheng, shall I bring the patient in?"
"Huh?" Zheng Ren glanced at Feng Jianguo.
"I haven't done it before. I just want to see you do it once," Feng Jianguo said with a smile.
"I've never done it either …" Zheng Ren said helplessly. However, he did not object to Feng Jianguo's suggestion. It would be a lie to say that he did not want to go for surgery when the probability of a case was one in a hundred thousand.
This was the accumulation of a wealth of clinical experience.
"The fetus of the parasitic fetus is still growing. It's probably connected by blood," Feng Jianguo said. "I don't dare to do it."
"Just find the blood vessel and ligate it. Brother Feng is too fake."
"The key is …" Feng Jianguo forced a smile and said, "Isn't it because I'm a little scared to go on stage? I'm afraid that Xiaocao will faint from fright. "
"Science, science!" Su Yun emphasized science as he asked, "What's there to be afraid of?"
"I know the mother of this patient. She's my primary school classmate. I was still in school when she was pregnant. I heard from her that she met a fortune-teller who said that she was going to be twins, a boy and a girl. "
"Later, she only gave birth to one. 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 in that stuff. The kind that asks for the eight characters of the birth as soon as they come up, there's a high chance that there's something to it. But saying that she's pregnant and pregnant with twins is a little nonsense. "
"Heh." Feng Jianguo laughed dryly. No one knew what he was afraid of in his heart.
Maybe it was a man's pregnancy? Maybe it was the parasitic fetus that had been growing in his body for 24 years?
Zheng Ren suddenly thought of Song Shi. According to logic, the parasitic fetus was more like a devil fetus.
"Sure." Zheng Ren ended the conversation. "Brother Feng, take the patient in. Make preoperative preparations and find time to perform the surgery."
"Brother Feng, we have to do TIPS in the morning. This can't be delayed. How about we have lunch in the afternoon? "Su Yun immediately added.
"No problem."
Zheng Ren carefully looked at the other imaging data and the blood test data from the local hospital. Finally, after confirming that there were no mistakes, he put the data away and handed it to Feng Jianguo.
"Boss Zheng, I'll be leaving then," Feng Jianguo said.
After he left, Lin Yuan sighed. "I saw abdominal organs. Could it be that the organs of the parasitic fetus are functional?"
"What's there to be surprised about?" Su Yun said disdainfully. "Generally speaking, parasitic fetus is a rare disease caused by the abnormal development of monochorionic amniotic sac twins. Inside the capsule is an irregular shape that looks like a fetus. After careful examination, you can distinguish the head, body and the embryonic form of the limbs. There are finger-like objects at the ends of the limbs. "
"Simply put, they're deformed twins," Zheng Ren said. "To put it crudely, one of the dominant individuals has absorbed almost all the nutrients and the other has a hard time growing."
"Boss, that's not a strict explanation," Su Yun said.
"Simply put, under a microscope, the parasitic fetus is wrapped in a fibrous sac covered with a single layer of epithelium or squamous epithelium. Various mature components can be seen: bone, intestinal tissue, brain tissue, adipose tissue, respiratory epithelium.
"I saw a head just now, but it was empty inside." Lin Yuan thought about it and seemed a little afraid.
Especially when the dominant individual absorbed most of the nutrients in the mother's body. This explanation was even more strange and bizarre.
"This patient's parasitic fetus has no brain tissue, but we can see the image of the developed uterus," Zheng Ren said. "If it grows normally, it should be a fraternal twin. Unfortunately, the sister did not develop a heart and brain … "
"Boss, have you heard of the kind that all develop?" Su Yun suddenly asked.
This matter could not be thought about in detail. The more he thought about it, the more sinister it became. If all of them developed and one of the twins was in the abdominal cavity of the other, what would it be like?
Breaking out of the cocoon or …
Lin Yuan shivered. She looked out the window. The sky was a little dark, so she was even more afraid.
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