Chapter 1708 Liver Foreign Body with No History of Trauma

"Boss, what did you find?" Su Yun asked after leaving the ICU.

"I suspect that the ventilator was inserted incorrectly, and too much gas was hit in the stomach through the ventilator, which finally caused a series of reactions." Zheng Ren said.

"It makes sense and can be explained, but there are too few cases to be statistically significant." Su Yun understood after thinking about it and shrugged.

Zheng Ren smiled. He just didn't have the time. If he sunk his heart to study knowledge, he would be able to produce a paper in a few days.

But the papers are meaningless to me. They are all tenured professors at Massachusetts General Hospital, and they also published a woolly paper.

That's what Quan Xiaocao should do.

As for himself, the world-famous task progress bar is what matters.

"Why are you going this afternoon?" Su Yun asked.

"I don't know." Zheng Ren said, "Maybe sitting and reading a book, maybe going to the emergency department for a walk."

"Boss, tell you a secret." Su Yun's eyes narrowed.

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

In such a tone, the dog must say that Uncle Ning will be back soon.

All Zheng Ren's good mood vanished.

[They said to write a love song soon...]

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

"Hello, Director Luo."

"I'm in the ICU, just got out."

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

"What's wrong? Emergency?"

"No, it is said to be a patient with a liver abscess, which looks very strange." Zheng Ren said.

"What's so good about a liver abscess." Su Yun said, "Anti-inflammatory treatment is symptomatic, if it doesn't work, it can be punctured and drained by B-ultrasound. There is always a suitable one."

"Can Director Luo know what you said? He said that there is a problem with suspicion, it must be something else." Zheng Ren said, his pace quickened.

The two walked quickly to the Gastroenterology Department. Zheng Ren glanced at it and saw that Director Luo was not in the doctor's office, so he went straight to the Director's office.

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

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

Zheng Ren walked over and glanced at it. A 7 × 3 cm abscess was seen in the right lobe of the liver, with a slender shape protruding from the liver surface.

Uh...what the hell is this?

If it was a trauma patient, Zheng Ren would have no hesitation. However, the films I saw on the side of gastroenterology should, according to reason, be diseases of the internal medicine system.

But the essence of high density, what is this? Liver stones? But it's also too big and too thin to look like.

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

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

"No, it's strange here." Director Luo said: "I have no history of trauma or surgery.

The patient was a 41-year-old male patient who had a fever of unknown cause a month ago. He began to think it was a cold and had a fever. He went to the local clinic for treatment. After two weeks of inactivity, antibiotics did not improve, so I went to the county seat. When taking a chest X-ray, a liver abscess was found, so this CT scan was done. "

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

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

This is just so weird.

"What do I think it's a foreign body." Director Luo stared at the film, "I went out of the clinic today and saw the patient's film, and I kept thinking about it. I'm not sure, so I asked Boss Zheng to take a look."

"Director Luo, I don't dare." Zheng Ren said politely again and again, "I also think it is a foreign body, or a relatively sharp foreign body. But it is strange that there is no history of trauma, can you be sure?"

When discussing his condition, Zheng Ren gave up his subtlety 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 navel, and I didn't have a single-port laparoscopy." Director Luo said.

Zheng Ren began to hesitate.

Director Luo is indeed rich in experience, and he can think of everything he can think of.

Even in order to rule out that the patient's description was unclear or that he had forgotten some medical histories, he directly ruled out these possibilities during the physical examination.

There is no trauma, but there is a foreign body, which is very strange.

A plain CT scan of the abdomen could not explain the problem. Zheng Ren began to frown and ponder, and started 3D reconstruction.

However, the result of the 3D reconstruction was positive. From the density inside the abscess, it was a sharp and slightly sharp hard object.

The density is not as high as iron, and it is not like bullets.

Does it really grow out of the liver itself?

Zheng Ren began to search for things like liver stones.

Clinically, hepatolithiasis is the so-called intrahepatic calculi, which refers to the presence of calculi in the bile canaliculi in the liver, or it may be a simple primary intrahepatic calculus.

But the most common possibility is the accumulation of common bile duct stones upstream.

But this doesn't make sense either, liver stones... Aren't the stones so sharp and slender, like a stone forest in the liver?

Puncture the bile duct, puncture the surface of the liver, and end up with a serious abscess?

Zheng Ren thinks this possibility is almost non-existent.

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

"Any ideas, Boss Zheng?" Director Luo asked.

"There is no idea at all, but to analyze the patient's condition, I think it is necessary to carry out exploratory surgery." Zheng Ren said with confidence while watching the film while holding his arms.

"Well, this is the purpose of coming to you." Director Luo did not hide it, and said directly: "What is the detection of the foreign body, how confident is the operation?"

"Surgery is a minor operation, but you have to make an incision or take out the foreign body under a laparoscope to know what it is." Zheng Ren said.

Director Luo smiled.

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

He asked him if he was sure about the operation, but Boss Zheng was all focused on what the foreign body in the patient was.

Whether the operation will fail, Boss Zheng should not have considered it.

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

Even, temporarily out of consideration.

What an energetic and confident young man! Director Luo looked at Zheng Ren and said with a smile: "I'll send you the patient's phone number, and I'll ignore the rest. If you want to have surgery or live broadcast, let me know in advance and I'll go take a look."