Chen Cang looked at the medical records and various test reports in his hand, recalling the countless appendix surgeries, and suddenly frowned slightly.

"The patient is only 12 years old, with metastatic lower right abdomen pain with nausea and vomiting for 2 days, and fever for one day. The abdominal pain originated from around the umbilical cord and transferred to the lower right abdomen after 24 hours. It showed persistent pain and paroxysmal aggravation. Previous physical examinations, no similar disease history, physical examination... abdominal muscle tension, right lower abdomen toothache, rebound pain, Mai's point obvious, intestinal rumbling sound weakened, lumbar major muscle signs were positive, colon inflatable test was positive, obturator internal muscle test was negative..."

Appendicitis is fine!

But... Chen Cang was still a little confused.

Suspected urethral stones?

But no stones?

Could it be...

Chen Cang thought of a strange appendicitis!

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

But today is a competition, Liu Jian just nodded slightly, didn't say much, and was preparing for anesthesia.

Chen Cang quickly stopped him and said, "Brother Liu, I'll check it later."

Liu Jian was a little stunned, but stopped.

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

Chen Cang said: "I will touch your stomach later and tell me if it hurts."

After saying that, Chen Cang's right hand started from the umbilical circle and pressed clockwise...

"pain!"

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.

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

This case is extremely rare, and is caused by abnormal evolution of the cecum during the embryonic period, with an incidence rate of only 2%-8%.

If this extraperitoneal appendicitis is not treated in time, the inflammation is very likely to spread and accumulate surrounding organs such as ureters, kidneys, and large pelvic blood vessels, causing extremely serious complications.

To put it simply, this disease is a bit tricky!

But this is what others do.

There is no pressure on Chen Cang.

Turning around and saying to Liu Jian, "Brother Liu is OK."

Liu Jian nodded in confusion: "This appendix?"

Chen Cang said lightly: "It should be ectopic appendicitis, and extraperitoneal appendicitis!"

When Liu Jian heard this, he frowned.

Because extraperitoneal appendicitis is very difficult to diagnose before surgery, it is often discovered when it is explored during surgery.

Therefore, this disease often leads to major problems due to insufficient preparation for the surgeon.

Liu Jian asked carefully: "Are you sure?"

Chen Cang nodded!

Liu Jian was also more careful when he was anesthesia. After all, he remembered that he heard from his teacher when he was in school in Kyoto, but he had never seen him before.

At this time, several people in the office saw the pictures on the big screen and discussed them with a smile. As for the score, everyone had their own opinions, but it did not hinder their communication.

"No. 1 is very skilled? The technique is very accurate, the young man is OK!"

"No. 2 is OK, but there is still a little difference between No. 1's grasp of the appendix."

"Ye? Why didn't No. 3 start yet! Why... Why is this a physical examination?"

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

Because at this moment, everyone has started the surgery, and No. 1 has found the appendix and is about to be removed.

And No. 3 hasn't started yet!

When an outsider sees it, he will definitely be a judgement!

However, several veterans who have been through the battlefield for a long time, when they saw this situation, their first reaction was to pick up the medical records of the No. 3 operating room patient in their hands and read them.

The few people raised their hands and saw that there seemed to be nothing different.

Is this a typical appendicitis?

Liu Siqi naturally recognized No. 3 as Chen Cang. He had a good impression of Chen Cang, and even... When he saw Chen Cang, he wanted to get a super low score!

Then he took the opportunity to poach Chen Cang.

Of course, this is just an idea.

In fact, since he came in, he has been paying attention to Chen Cang, but... he was curious when he saw that he had not had surgery for a long time and even refused to let the anesthesiologist anesthetist have anesthesia.

What are you going to do?

Does he have doubts about the disease?

It's impossible!

Can't the hospital tell the difference between an appendix surgery?

So, at the beginning, Liu Siqi took the copied medical records and read them three or four times, but they were all the templates back and forth, so what’s the difference there!

Could it be that Chen Cang only has the tendon? He overestimated him?

Liu Siqi couldn't help but feel suspicious of Chen Cang.

Five judges and one Hao Xuliang all picked up the medical records and conducted careful investigation.

I read everything from medical records to tests to abdominal color ultrasound, but I couldn’t see what it was!

Even Hao Xuliang felt a little embarrassed. After all, Chen Cang is the right person, and fortunately he didn't say it, otherwise... it would be embarrassing.

Several people read the medical records inside or outside, but they didn't get any results.

Liu Siqi, who had read the medical record five or six times, suddenly grasped a detail!

That is, the patient's symptoms are very similar to urinary stones!

B-ultrasound shows no sign of stones

this……

Liu Siqi was suddenly stunned!

Extraperitoneal appendix???

After thinking of this idea, Liu Siqi suddenly realized.

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

Seeing this, Liu Siqi said excitedly: "Everyone says, is there any possibility of this patient having an extraperitoneal appendix?!"

As soon as these words were said, people around them frowned.

At this time, Chen Cang had already started to take action!

This knife was very light and shallow, and it seemed simple, but it just cut her belly...

Chen Cang had to be careful. If it was an extraperitoneal appendix, it would be best to be careful not to cause inflammation to spread.

The incision is not big, 4m.

This is what Chen Cang has considered. A cut that is too small is prone to errors, but 4m is not big or small, but it is enough for Chen Cang!

After cutting it, a foul stench suddenly came!

A red arrow suddenly appeared in Chen Cang's eyes, and he was stunned!

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

Chen Cang looked at the position and saw a crimson appendix. It was congested and swollen at this time, and even pus-liquid oozing out around it, and a foul odor suddenly came.

[Extraperitoneal suppurative appendicitis monster, lv29, leader monster! Characteristics: High hiddenness, easy to spread inflammation, prompt: Treat it carefully and do not act recklessly.]

It is indeed extraperitoneal ectopic suppurative appendicitis!

And, this is still a big guy!

Level 29, leader monster!

Will kill the artifact explode?

Chen Cang couldn't help but feel a little surprised. After all, it was diagnosed and discovered by himself, and it was nothing more than being happy as a doctor.

And at this time, the office was silent!

Everyone stared at the scene in the operating room No. 3 with their breath held their eyes.

Is this too fake?
To be continued...