Because the family and the patient themselves claimed that they had no history of intimate contact, they could not do the most appropriate yin B-ultrasound, and Zheng Ren could only do the abdominal B-ultrasound.

Although it is a little worse, Zheng Ren has a system of this big pig's hooves.

However, the diagnosis given by Big Pig's Trooster this time made Zheng Ren unable to believe it.

Spleen torsion...

This diagnosis...If the patient had pain in the upper abdomen, Zheng Ren would probably believe it immediately. However, the patient had pain in the lower abdomen, so Zheng Ren was cautiously prepared to do an ultrasound examination by himself.

There was no abnormality in the uterus and bilateral ovaries, and a mass of about 5 cm in diameter could be seen next to the left ovary.

It seems that the differences are here.

Zheng Ren held the B-ultrasound probe in his right hand and pressed his left hand on the patient's abdomen.

When pressed, Zheng Ren noticed that the tumor was separated from the ovary and several large blood vessels could be seen inside.

Zheng Ren agreed with the doctor in the ultrasound room, although the physical examination looked like an ectopic pregnancy.

"Where is the family?" Zheng Ren asked.

An anxious middle-aged woman next to her stood up and asked hurriedly: "Doctor, how about my daughter?"

"The source of the tumor is unknown and requires surgical investigation." Although Zheng Ren had a certain idea in his mind, he still carefully described it in a broader vocabulary, "prepare for hospitalization and surgery."

The sweat of middle-aged women fell down.

Most people hear that surgery is needed, so there is no one who is not afraid.

A joke similar to the death of a patient after appendicitis removal is widely circulated among everyone. Although the probability is very low, it makes people feel a sense of fear of the operation.

"Mr. Zheng, call me during the operation and I'll go and see." The gynecologist was very happy to see that the emergency department had taken this difficult job.

But she was quite interested in the diagnosis. She did not think that her diagnosis was wrong, but what the doctor of the ultrasound also made sense, so she was going to see what was going on.

Generally speaking, doctors hate surgery such as laparotomy and chest trauma.

Because after opening it, no one knows what is going on inside.

It is necessary to have rich clinical and surgical experience to solve certain unexpected symptoms.

If you are not careful, the consequences will be unpredictable.

So I always didn’t insist on being hospitalized in the gynecology department. Anyway, it was all about exploring. If I found a disease such as ectopic pregnancy, I would just do it directly.

She followed, in addition to looking at the final analysis, she was also afraid that Zheng Ren would not have experience in ectopic pregnancy surgery.

Now Zheng Ren has a high reputation in gynecology because of medical trouble. Although the hospitalization of gynecology does not agree with some of Zheng Ren's diagnosis, he still wants to help him provide a guarantee.

Zheng Ren didn't care, so he nodded.

Today is Zhong Min, who came to the internal medicine department, on duty. Zheng Ren informed Yang Lei to come for the operation while walking, and then called Chu Yanzhi to come.

He didn't know how the Chu sisters were scheduled, so he just called one of them anyway.

Take the patient to the emergency room and make preoperative preparations.

Zhong Min is responsible for answering the patient, asking about medical history, and writing various text materials. Zheng Ren seized the time to give preoperative explanations to the patient's family.

No matter what kind of diagnosis is, it belongs to the emergency department and time is very valuable.

The patient's mother wiped her tears while signing her name on the surgery consent form.

After signing this page, the nurse had left a gastric tube and a urinary catheter.

Yang Lei’s home is a bit far away, so Zheng Ren and the patient’s family pushed the patient into the operating room.

When they were sent to the operating room, Chu Yanzhi had arrived. Several people worked together to move the patient to the operating table, and Zheng Ren went to change his clothes.

It takes ten minutes to prepare before the operation, because the anesthesia procedure is quite complicated, so Zheng Ren was not particularly anxious.

Is it a side spleen? Zheng Ren has been thinking about the diagnosis given by the system.

In tissue culture, the adipple spleen is caused by the failure of fusion of the spleen primordial group located in the dorsal mesangium of the embryo at the 5th week of the embryo.

Clinical diagnosis is relatively difficult.

The CT scan of the adipple spleen is generally smooth with a edge less than 2 cm, strengthening a uniform clump. The MRI scan shows that a donor artery from the splenic artery enters the adipple spleen.

Ultrasound can only be used as an auxiliary, and cannot find the branches of the spleen artery that provide blood vessels like a magnetic resonance scan, and enter the tissue that may be the parasplenia.

Because the patient is an emergency patient, he has no time and no conditions to improve various examinations. Therefore, he can only choose a laparotomy method to solve the problem.

After changing the isolation suit, Zheng Ren called the medical department and asked his colleagues from the pathology department to work overtime.

If it is the spleen in the upper abdomen, there is no need for this.

But it occurs in the pelvic cavity and is very far away, and there is a possibility of tumors.

If you want to rule out that the tumor is a tumor tissue and a branch is divided into a splenic artery to provide it, it can only be determined by a pathological diagnosis.

Zheng Ren has explained this in detail to the patient's mother.

And because of this possibility, Zheng Ren could not have laparoscopic surgery.

Because the small holes in laparoscopic surgery cannot be removed from the adjunct spleen. If they are broken and removed, once the tumor tissue is in progress, a large number of implants and metastasis will occur, causing the tumor to enter the advanced stage.

Everything was carefully considered. Zheng Rencai came out of the locker room, called the hospitalized gynecology officer, and began to prepare for the surgery.

Chu Yanzhi was lively and the patient had finished anesthesia and she was chatting with Xie Yiren.

In fact, it was just chatting, but she was talking. Xie Yiren was busy preparing surgical tools while agreeing.

She asked where Xie Yiren was and why she didn't go home. She didn't notice that Xie Yiren and Zheng Ren had a slightly awkward silence.

The girl with thick lines is completely opposite to Chu Yanran.

I don’t know if all the delicate thoughts of the same twins fell on Chu Yanran’s side.

Before Yang Lei arrived, Zheng Ren didn't wait for him. After finishing his hand, he directly disinfected it, laid a sterile sheet, and prepared to open the platform.

It’s no big deal to have surgery alone, and Zheng Ren has long been used to it.

The shadowless light was bright, and Zheng Ren glanced at the operation area. Considering the patient's age, he hesitated for a while. Finally, he took the incision next to the left rectus abdomen near the middle and lower abdomen, which was about 8cm long.

The opening is a bit long because the blood vessels are to be found during the operation.

If the opening is too small, the opening must be extended during the operation.

Incide the skin, bluntly separate the subcutaneous tissue, and fat all the way to the peritoneum.

The patient is young and has a thick fat layer, so the surgery is easy to do.

At this time, the gynecologist hospitalized the whole time rushed over.

Seeing Zheng Ren undergoing surgery alone, she asked: "Mr. Zheng, am I on stage?"

"No, Yang Lei will be here soon." Zheng Ren applied coating to protect himself and directly opened his abdominal cavity.

Seeing that the abdominal cavity was opened, the gynecologist hospitalized and stopped talking, but focused on watching the operation.

The big hook pulled apart the skin and muscle tissue of the lower abdomen. Zheng Renhe, who was hospitalized, found the source of pain in the patient's lower abdomen - a dark red soft tissue next to the ovaries.
Chapter completed!