Chapter 67

Looking at the medical records and various test reports in his hand, Chen Cang thought of the countless appendectomy operations and suddenly frowned slightly.

"The patient is only 12 years old, with metastatic right lower abdominal pain accompanied by nausea and vomiting for 2 days, fever for 1 day, abdominal pain starting from around the umbilicus and transferred to the right lower abdomen 24 hours later, showing persistent pain, paroxysmal exacerbation, previous physical examination, no history of similar diseases, physical examination... Abdominal muscle tension, right lower abdominal toothache, rebound pain, obvious McIntosh point, weakened bowel sound, positive psoas sign and positive colon inflation test, Obturator muscle test negative... "

Appendicitis is no problem!

But... Chen Cang still has some doubts.

Suspected urethral calculi?

But no stones?

Is it

Chen Cang thought of a strange appendicitis!

At this time, the anesthesiologist came in to prepare for anesthesia. It was an old acquaintance Liu Jian.

But today is the game. Liu Jian just nodded slightly, didn't talk much and was ready for anesthesia.

Chen Cang quickly stopped and said, "brother Liu, I'll check again later."

Liu Jian was a little stunned, but he stopped.

Chen Cang walked to the boy. The boy was obviously a little nervous. Seeing Chen Cang coming, he was at a loss and simply closed his eyes.

Chen Cang said, "I'll touch your stomach later. Tell me if it hurts."

With that, Chen Cang's right hand starts from the navel and touches it clockwise

"It hurts!"

As soon as he pressed it, the boy frowned and shouted.

Chen Cang nodded and continued to change his position!

A few minutes later, Chen Cang had an idea in his mind.

This should be a rare case: "extraperitoneal appendicitis!"

This kind of case is very rare. It is caused by the abnormal evolution of cecum in embryonic stage, and the incidence is only 2% - 8%.

If this kind of extraperitoneal appendicitis is not treated in time, the inflammation is very easy to spread and accumulate the surrounding organs such as ureter, kidney and pelvic vessels, resulting in very serious complications.

Simply put, this disease is a little tricky!

But this is for others.

There is no pressure on Chen Cang.

Turned to Liu Jian and said, "brother Liu is good."

Liu Jian nodded suspiciously, "this appendix?"

Chen Cang said lightly: "it should be ectopic appendicitis, and ectopic appendicitis outside the peritoneum!"

Liu Jian frowned at this.

Because extraperitoneal appendicitis is very difficult to diagnose before operation, it is often found during exploration during operation.

Therefore, this disease often leads to big problems because the operator is not prepared enough.

Liu Jian asked carefully, "are you sure?"

Chen Cang nodded!

When Liu Jian was anesthetized, he also had more eyes. After all... He had an extraperitoneal appendix. He remembered that when he was at school in Kyoto, he heard his teacher say that he had never seen it.

At this time, several people in the office saw the pictures on the big screen and laughed and discussed. As for the scores, everyone had their own views, but they did not hinder each other's communication.

"Number one is very skilled? The technique is very accurate, and the young man is OK!"

"No. 2 is OK, but there is still a little gap with No. 1 in the grasp of the appendix."

"Yi? Why hasn't it started on the third? Why... Why is it in the physical examination?"

Sure enough, after the man finished, others also paid attention to No. 3.

Because at this moment, everyone has started the operation. No. 1 has found the appendix for removal.

And number three hasn't started yet!

A layman must have made a judgment!

However, several veterans who have been on the battlefield for a long time. Seeing this situation, their first reaction was to pick up the medical records of patients in operating room 3 and read them.

A few people raised their hands and saw that there seemed to be no difference.

Is this a typical appendicitis?

Liu Siqi naturally recognized that No. 3 was Chen Cang. He was very fond of Chen Cang, and even... When he saw Chen Cang, he wanted to give an ultra-low score!

Then take advantage of the situation to dig Chen Cang away.

Of course, this is just an idea.

In fact, he has been paying attention to Chen Cang since he came in, but... He was curious to see that he didn't operate for a long time and didn't even let the anesthesiologist anesthetize.

What are you doing?

Does he have doubts about the disease?

Impossible!

Can't the hospital distinguish an appendix operation?

So, at the beginning, Liu Siqi took the copied medical record and looked at it three or four times, but it was all those templates back and forth. What's the difference there!

Can Chen Cang only suture tendons? You overestimate him?

Liu Siqi couldn't help but doubt Chen Cang.

Five judges plus one Hao Xuliang all picked up the medical records to explore carefully.

From medical records to laboratory tests to abdominal color Doppler ultrasound, I looked all over, but I didn't see what happened!

Even Hao Xuliang felt a little embarrassed. After all, Chen Cang was the real one. Fortunately, he didn't say it, otherwise... What a shame.

Several people turned the medical records inside and outside once or twice, but they didn't get any results.

Liu Siqi, who had looked through the medical records five or six times, suddenly grasped a detail!

That is, the patient's symptoms are like urinary calculi!

B-ultrasound showed no signs of stones

This

Liu Siqi was suddenly stunned!

Extraperitoneal appendix???

After thinking of this idea, Liu Siqi suddenly realized it.

At this time, the people around seemed to give up and began to shake their heads.

Seeing this, Liu Siqi said excitedly, "everyone said, is it possible for this patient to have an extraperitoneal appendix?!"

As soon as he said this, people around him frowned.

At this time, Chen Cang has begun to use his knife!

This knife is very light and shallow. It looks simple, but it just cuts the belly

Chen Cang had to be careful. If it is an extraperitoneal appendix, it is best to be careful not to cause the spread of inflammation.

The incision is small, 4cm.

This is what Chen Cang considered. Too small incision is easy to make mistakes, but 4cm is not big or small, which is enough for Chen Cang!

After cutting, a stench came!

Chen Cang's eyes suddenly appeared a red arrow. He was stunned!

Does the system still have this function? Help yourself find the lesion?

Chen Cang looked a little according to the position. Sure enough, he saw a crimson appendix. At this time, it was congested and swollen, and even purulent liquid exuded around. The stench came immediately.

[extraperitoneal suppurative appendicitis monster, lv29, leader monster! Characteristics: high concealment, easy inflammatory diffusion, tips: handle with care and don't act recklessly.]

Sure enough, it is extraperitoneal ectopic suppurative appendicitis!

And this is a big guy!

Level 29, leader monster!

Will killing explode an artifact?

Chen Cang couldn't help being surprised. After all, he diagnosed and found it himself. Being a doctor is nothing more than that.

At this time, the office is silent!

Everyone held their breath and stared at the scene in operating room 3.

Is this too fucking fake?

Is this a play?

Hundreds of appendix operations don't necessarily have such a thing. I met it today, and... It seems to have been diagnosed by this little doctor?

How is that possible!

Several old experts frowned one after another!

Suddenly, a man couldn't help asking, "how did he know it was extraperitoneal ectopic appendix? This ectopic appendix is difficult to be diagnosed..."

This voice spoke everyone's heart!

Hao Xuliang was also directly stunned. His eyes were full of incredible. He thought, is this boy really unlucky?

I ran into such a strange thing!

Liu Siqi didn't know what to say. It turned out to be extraperitoneal appendicitis. Fortunately, he didn't act so recklessly, otherwise... Inflammatory spread is not conducive to later recovery.

The people around looked at Liu Siqi with curiosity in their eyes.

Finally someone couldn't help asking, "Lao Liu... Are you Tuo?"

Liu Siqi glared: "you are the mop! How can I trust you!"

The man was not angry and smiled: "how did you find that this may be an extraperitoneal ectopic appendix?"

Liu Siqi sneered and pointed to the medical record: "nature depends on strength! The so-called reading a book a hundred times is self-evident... As long as you seriously think about the medical record and look more, nature..."

When they saw that Liu Siqi had installed such a deep B, they looked at each other. After three seconds, they finally couldn't resist: "speak human words!"