Chapter 3271 [3271] Rare
"This situation allows me to report to you, Director Ding." Dr. Gu spoke incoherently.
"What diagnosis?"
"Diagnosis—" Dr. Gu didn't dare to say the acute appendicitis that he had sworn to before.
"It may be necessary to consult with various departments." Dr. Qian hastily applied the patch. If he and Doctor Gu can't come up with a diagnosis, they can invite more colleagues into the pit.
"Intractable diseases." Ding Conghong quickly understood what they meant, pondered in his throat and turned to him, "Dr. Xie Wanying, what is your diagnosis?"
There was a sudden silence between the two groups of people at the scene.
Zeng Wanning's breath was short of breath, and his leader asked classmate Xie not to ask him.
Dr. Gu and Dr. Qian looked at each other again: This female doctor looks very young, why did Director Ding ask her about the patient's diagnosis?
Cao Yong narrowed his eyes.
Song Xuelin bit the straw in his mouth.
Pan Shihua's eyes are full of warning lights.
"You are an excellent student of Teacher Tan." Ding Conghong explained his reason for asking, "I hope you can give me some advice and reference, so that I can make a quick decision and help the patient."
It must be said that the attitude of doctors in large hospitals and doctors in small hospitals is completely different. Regardless of whether this person is from the Ding family, obviously, the other party will never commit the narrow-mindedness that her uncle and uncle exposed on their lips.
The diagnosis must be made clear to the other party. The consequences of misdiagnosis are disastrous. Some diagnoses are difficult to differentiate and may even be confirmed only during surgery. Therefore, it cannot be said that the doctors in the other hospital are at fault. If true, this disease is extremely difficult to investigate.
"I suggest to do a CT scan for the patient right away, Director Ding." Xie Wanying said, "Focus on the appendix and small intestine."
"Is the patient suffering from small bowel disease?" Dr. Qian turned to ask Dr. Gu.
Dr. Gu settled down to contemplate some diseases that are difficult to see clinically, and then seemed to be taken aback: "Isn't it?"
what is it Zeng Wanning looked nervously at all the seniors present.
"The second appendix of the human body." Dr. Gu said.
"What's that?" Dr. Qian asked because he wasn't a general surgeon, so it was difficult for him to think of these rare diseases that were not his specialty.
"Mekel's diverticulum." Dr. Gu wiped his eyebrows and admitted, "I only saw one case in the pediatrics department during my internship."
Meckel's diverticulum is a congenital malformation of the small intestine, but it is not uncommon. The reason why it is difficult to see clinically is that this disease is a disease that does not recur for life in many patients.
Meckel's diverticulum, known as the second appendix of the human body, must be like an appendix in some places, mainly reflected in its anatomical structure. It is an extra diverticulum at the end of the ileum. It can be imagined as an extra appendix in the ileum. pouch. Therefore, like the appendix, if feces and other things get stuck in the diverticulum, or inflammatory ulcers occur, acute abdomen will occur. In severe cases, perforated intestinal obstruction may lead to massive bleeding.
Because it is in the ileum, its anatomical location is close to the appendix, and it is rare for adult patients with Meckel's diverticulum to seek medical treatment with clinical symptoms, so clinical doctors rarely think of this disease in the first place.
For differential diagnosis, as Mr. Xie said, CT is needed. Others, including ultrasonography, are very likely to be misdiagnosed. It is not recommended to do CT for patients who have been almost diagnosed with acute appendicitis in the emergency department. Many times, this kind of lesion turns out to be not acute appendicitis after the doctor opens the patient's abdominal cavity on the operating table.
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