What was taken out of the patient's abdominal cavity was a pink irregular cystic mass, wrapped with a lot of milky white cystic fluid, and finally a solid 3*4*4cm mass.

Even though it has been sent for inspection, it still left a deep impression on everyone present.

Compared with the master-apprentice inheritance that traditional medicine values, modern medicine with a systematic theoretical knowledge base is completely open source. As long as you want to learn, you can find any relevant knowledge points in books and the Internet.

The working doctors are also very clear that only by improving the overall strength of doctors can the development of modern medicine be effectively promoted.

The more open source the more it can carry forward the discipline, so it is rare to encounter this special case, so Xin Cheng naturally will not give up the opportunity to support the young doctor.

Facing Director Xin’s question, they also felt that the opportunity was rare and spoke.

"Before the pathological results come out, the tumor will definitely not be easily ruled out." A surgeon around raised his hand and said, "I guess a teratoma."

“It’s possible.”

"This messy look is really a teratoma."

"Then I'll guess one too." A doctor on the other side thought for a moment and said, "Since there is milky white sac fluid, I guess lymphangioma."

"Where is the source?" Xin Cheng nodded and asked with a smile, "Lymphatic vessels are all over the body. Where are the lymphatic vessels you are talking about?"

"From the adhesion, the source should be the mesenteric."

After hearing this, Xin Cheng did not continue to express his opinions, but looked at the others: "Do you have any other ideas?"

"Since you guessed these two, I guess a liver cyst..."

At this time, a young doctor with glasses standing in the distance expressed his thoughts, but was soon hit by the doctors around him.

"Hepatic cyst? Where can liver cysts be like this!"

"Yes, it may be the most likely that hepatic cysts will be done only in abdominal CT. But now the surgery has been done, and this lesion looks much different from the liver cyst."

Qi Jing also shook his head. In this case, he guessed that the basic knowledge of liver cysts was indeed a bit bad. Even an internal physician could tell at a glance that the possibility of liver cysts was almost 0.

However, being willing to express one's own thoughts in front of so many people is an advantage.

The almost unanimous veto did not give up the man. He sorted out his thoughts and continued: "It may also be a huge abdominal abscess caused by appendicitis."

"You are getting farther and farther away, appendicitis?"

"Yes, the physical examination in the hospital does not indicate appendicitis. Besides, how can the abscess caused by appendicitis be so big?"

“Haha, appendicitis…”

Although those people thought the result of this person's guess was outrageous, three people in the audience couldn't laugh. Especially Cui Yuhong, who was standing next to the operating table, was already recalling the entire operation process.

Xin Cheng coughed twice and asked quickly: "You can't just guess it randomly. You jumped from liver cyst to appendicitis. What about your evidence?"

"The milky white liquid in the lump should be lymph fluid, but in the end, Teacher Xin also processed many yellow and clear exudates, and I think there is a possibility of inflammation cells infiltrating."

When the man said this, his voice became much lighter, and at the same time he looked at Cui Yuhong behind him: "I found that when I had the last abdominal examination, Teacher Cui did not check the appendix..."

"Didn't check?" Xin Cheng suddenly turned his head and looked at his student, "Yu Hong!"

The latter quickly shrank his head, quickly lifted the moisturizing gauze covering the patient's wound, put his hands into his abdominal cavity, and then carefully checked along the colon lace.

He was relieved after a minute: "Appendix OK!"

After getting the results, Xin Cheng nodded with satisfaction: "Even if there is no 1% possibility, we must achieve 100% full coverage during the examination, and no one can be missed. No matter how fast the surgery is performed, it is not an indicator of your effectiveness. If the patient does not have any problems, it is not a sign of the patient."

“Yes, yes, yes, I remember.”

Cui Yuhong knew what bad consequences would be caused by the "mistake" in the operation, so he nodded and admitted his mistake, "It will not happen again in the future."

After saying that, he inserted his hands into his armpits and kept them aseptic, standing aside and waiting for the pathological results.

In fact, for others, this is not a mistake at all.

If it is really an abscess caused by appendicitis, the pathological results can explain everything. As long as there are a large number of inflammation cells, Cui Yuhong will definitely think of several areas that are most likely to cause inflammation.

After all, neither physical examination nor CT suggests appendicitis, and the possibility is not even 0.1%, so it is understandable that so many organs in the abdominal cavity are ignored.

Besides, the patient is not closed yet, everything is possible.

But Xin Cheng is such a surgeon who pursues absolute perfection. When he put down the scalpel and ordered the abdomen to be cleared, he should be at the stage where the operation can be successfully completed at any time.

He does not allow any mistakes.

Cui Yuhong's mistake may not be able to get a big knife in the past few days.

Since there is a sterile area around the operating table, Qi Jing cannot lean on it without washing his hands or surgical gowns, so he can only stand in a distance and ask Cui Yuhong: "Teacher Cui, why don't you guess?"

Cui Yuhong smiled so much that his eyes narrowed into a slit, and then shook his head.

"You guessed it right and maybe you can make up for it."

Qi Jing kindly suggested, but he shook his head and declined.

"If you don't guess, I'll guess." Qi Jing raised the volume to a normal level at this time, "Teacher Xin, I think it's chronic mesenteric lymphangitis."

"Oh?" Xin Cheng felt a little better when he heard different voices. He immediately turned to Qi Jing and asked, "Is there any basis?"

Qi Jing said: "The solid tumor that was associated with complete envelope and inflammatory infiltration around it. I guess it was the permanent hypertrophic fibrosis-like change caused by lymphangitis."

Xin Cheng became interested and continued to ask, "Why isn't it a tumor?"

"There is no blood supply." Qi Jing pointed to the TV and explained, "I watched the whole operation. It was not difficult to separate the mass, and there was no outward tissue infiltration around it. There was only some adhesion on one side of the lymphatic vessel, but no large blood vessels were found in the adhesion site."

"Cancer without blood supply cannot absorb nutrients."

"Then why is it not a teratoma?"

"Whether teratoma is benign and malignant, the CT manifestation should be some uneven density images, with bleeding, necrosis, and calcification, rather than simple simple cystic changes of the same density."

Unexpectedly, Qi Jing talked about the film from the operation, and several doctors thought it made sense after hearing this.

"The solid tumor is lymphangi inflammatory hyperplasia, so what is the cystic mass?" asked a doctor next to Qi Jing.

"It should be that inflammatory hyperplasia blocks the proximal lymphatic vessels and affects the recovery of lymph fluid."

"You mean chylocyst?"

"Yes, it's very likely that it's a chylocyst after chronic lymphangitis blockage." Qi Jing looked at Xin Cheng who was very satisfied and said with a smile, "I'm afraid Teacher Xin and Teacher Cui have guessed it long ago."
Chapter completed!