Chapter 67 The Leader Is Surprised!

Chen Cang looked at the medical records and various test reports in his hand, and suddenly frowned slightly when he thought of the countless appendiceal surgeries.

"The patient is only 12 years old, with metastatic right lower quadrant pain with nausea and vomiting for 2 days, fever for 1 day, abdominal pain originating from the umbilicus, and transferred to the right lower quadrant 24 hours later, showing persistent pain, paroxysmal aggravation, previous physical examination, no history of similar diseases , physical examination... tight abdominal muscles, toothache in the lower right quadrant, rebound tenderness, obvious McBride's point, weakened bowel sounds, positive psoas sign, positive colon inflation test, negative obturator internus test..."

Appendicitis is no problem!

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

Suspect urethral stones?

But no gallstones?

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 a game, Liu Jian just nodded slightly, didn't say much, and prepared to be anesthetized.

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

Liu Jian was stunned for a moment, but still stopped.

Chen Cang walked up to the boy. The boy was obviously nervous. Seeing Chen Cang coming over, he felt a little overwhelmed, so he closed his eyes.

Chen Cang said, "I'll touch your stomach in a while, and tell me if it hurts."

After speaking, Chen Cang's right hand starts from the navel and touches clockwise...

"pain!"

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

Chen Cang nodded and continued to change positions!

A few minutes later, Chen Cang had an idea.

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

This kind of case is extremely rare. It is caused by the abnormal evolution of the cecum during the embryonic period. The incidence rate is only 2%-8%.

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

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

But this is how it is for others.

There is no pressure on Chen Cang.

Turning around and facing Liu Jian, he said, "Brother Liu is fine."

Liu Jian nodded suspiciously: "This appendix?"

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

When Liu Jian heard this, he frowned.

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

Therefore, this disease often leads to major problems due to the lack of preparation of the operator.

Liu Jian asked carefully, "Are you sure?"

Chen Cang nodded!

When Liu Jian was under anesthesia, he also became more careful. After all... He remembered hearing about the extraperitoneal appendix when he was in school in Kyoto, but he had never seen it before.

At this time, several people in the office at this time saw the picture on the big screen and laughed and discussed. As for the score, everyone has their own opinions, but it does not hinder each other's communication.

"No. 1 is very skilled? The technique is very precise, the young man can do it!"

"No. 2 is also fine, but there is still a little gap between No. 1 and No. 1's grasp of the appendix."

"Hey? Why hasn't No. 3 started yet! What...why is this a physical examination?"

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

Because at this moment, everyone has already started the operation, and No. 1 has found the appendix to be removed.

And number three hasn't even started yet!

From a layman's look, it must be a judgment!

But several of them are veterans who have experienced battles. When they saw this situation, their first reaction was to pick up the medical records of patients in operating room No. 3 and read them.

Several people raised their hands and looked at it, and 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 a super low score!

Then take advantage of the situation 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... Seeing that he did not operate for a long time, or even let the anesthesiologist anesthetize, he was suddenly curious.

What is this for?

Does he have doubts about the disease?

impossible!

Is the hospital still unable to distinguish an appendix surgery?

So, at the beginning, Liu Siqi took the photocopied medical record and read it three or four times, but it was all those templates back and forth, what was the difference there!

Could it be that Chen Cang only sutures tendons? Are you overestimating him?

Liu Siqi couldn't help but doubt Chen Cang.

The five judges plus one Hao Xuliang all picked up the medical records to examine them carefully.

From the medical records to the laboratory tests to the abdominal color ultrasound, I have read it all over, but I can't see the truth!

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

Several people turned over the medical records inside and out once or twice, but to no avail.

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

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

B-ultrasound showed no signs of stones

This……

Liu Siqi was startled suddenly!

Extraperitoneal appendix? ? ?

After thinking of this idea, Liu Siqi suddenly realized.

At this time, the people around seemed to have given up and started shaking their heads.

Seeing this, Liu Siqi said excitedly: "Everyone said, does this patient have the possibility of an extraperitoneal appendix?!"

As soon as these words came out, the people around them frowned.

At this time, Chen Cang has already started to use the knife!

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

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

The incision is not large, 4cm.

This was considered by Chen Cang. Too small an incision is easy to make mistakes, but 4cm, not too big or too small, is enough for Chen Cang!

After cutting it, a stench came out!

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

Does the system still have this function? Help yourself to find the diseased part?

Chen Cang took a look at the location and saw a crimson appendix. At this time, it was congested and swollen, and there was even purulent fluid oozing around, and the stench suddenly came.

[Extraperitoneal suppurative appendicitis monster, lv29, leader monster! Features: high concealment, easy to spread inflammation, tips: handle with care and do not act recklessly. 】

It really is extraperitoneal ectopic suppurative appendicitis!

Also, this is a big guy!

Level 29, boss monster!

Will it explode if you kill it?

Chen Cang couldn't help but feel a little surprised in his heart. After all, he diagnosed and discovered it himself, and being a doctor is nothing more than happy.

At this time, the office was silent!

Everyone stared at the scene in the third operating room with bated breath.

Is this so fake?

Is this acting?

Hundreds of appendiceal surgeries are not necessarily such a thing. I met them today, and... they seem to have been diagnosed by this little doctor?

how can that be!

Several old experts frowned!

Suddenly, a man couldn't help but ask: "How did he know it was an extraperitoneal ectopic appendix? This kind of ectopic appendix is ​​difficult to diagnose..."

This voice speaks to everyone's heart!

Hao Xuliang also froze in place, his eyes full of inconceivable, thinking, this kid is too unlucky, right?

I came across such a weird thing!

Liu Siqi didn't know what to say, but it turned out to be extraperitoneal appendicitis. Fortunately, he didn't act so recklessly, otherwise...the spread of inflammation would be completely unfavorable for later recovery.

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

Finally someone couldn't help but ask: "Lao Liu... Are you a caregiver?"

Liu Siqi glared angrily: "You are the mop! Why am I being held up!"

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

Liu Siqi sneered and pointed at the medical records: "Of course it is based on strength! The so-called reading a hundred times is self-seeking... You just need to think about the medical records carefully, read more, and naturally..."

Seeing Liu Siqi pretending to be such a deep B, everyone looked at each other, and after three seconds, they finally couldn't hold back: "Speak human words!"