When a doctor opened a plug-in

Chen Cang looked at the medical records and various inspection reports in his hand, reminding him of countless appendix operations, and suddenly frowned slightly.

"The patient was only 12 years old, with metastatic right lower abdominal pain with nausea and vomiting for 2 days, fever for one day, abdominal pain starting from around the umbilicus, and metastasis to the right lower abdomen 24 hours later, presenting persistent pain with paroxysmal aggravation, previous physical examination, no history of similar diseases , Physical examination...abdominal muscle tension, right lower abdomen toothache, rebound pain, McKenzie's point obvious, bowel sounds weakened, psoas major sign positive, colon inflation test positive, obturator internal muscle test negative..."

Appendicitis is no problem!

But... Chen Cang still has some doubts.

Suspect urethral stones?

But there is no stone disease?

Could it be...

Chen Cang thought of a peculiar appendicitis!

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

But today is the game, Liu Jian just nodded slightly, didn't speak much, prepared for anesthesia.

Chen Cang hurriedly stopped and said, "Brother Liu, wait a while, I will check again."

Liu Jian was taken aback for a moment, but he stopped.

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

Chen Cang said, "I will touch your stomach for a while, and tell me if it hurts."

After speaking, Chen Cang's right hand started from the umbilical circle and touched clockwise...

"pain!"

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

Chen Cang nodded and continued to change positions!

A few minutes later, Chen Cang had an idea in his mind.

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 is only 2%-8%.

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

Simply put, this disease is a bit tricky!

But this is true for others.

There is no pressure on Chen Cang.

Turning to Liu Jian, he said, "Brother Liu is fine."

Liu Jian nodded in doubt: "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 found only during exploration during surgery.

Therefore, this kind of disease often causes major problems due to insufficient preparation of the surgeon.

Liu Jian asked carefully: "Are you sure?"

Chen Cang nodded!

When Liu Jian was under anesthesia, he was more mindful. After all... He remembered hearing the teacher talk about the appendix with extraperitoneal position when he was going to school in Kyoto, and he had never seen it before.

At this time, several people in the office saw the pictures on the big screen and discussed with a smile. As for the scores, everyone has their own opinions, but it does not hinder each other's communication.

"One is very proficient? The technique is very precise, the young man is fine!"

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

"Eh? Why hasn't the number three started yet! Why...Is this a physical examination?"

Sure enough, after the man finished speaking, other people also paid attention to the number three.

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

And the number three hasn't even started yet!

When a layman sees it, he must be judged!

However, several of the veterans were all battle-tested veterans. Seeing this battle, the first reaction was to pick up the patient's medical record in the operating room No. 3 and read it.

Several people raised their hands and saw that there was no difference.

Is this a typical appendicitis?

Liu Siqi naturally recognized that No. 3 was Chen Cang. He had a good impression of Chen Cang, and even... when he saw Chen Cang, he wanted to give a super low score!

Then he dug Chen Cang away.

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 hadn't operated 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!

Could it be that the hospital can't distinguish an appendix surgery?

Therefore, at the beginning, Liu Siqi took the photocopy of the medical record and looked it over and over again and again three or four times, but it was all those templates back and forth. What's different there!

Could this Chen Cang only suture the tendons?Overestimate him?

Liu Siqi couldn't help but doubt Chen Cang.

The five judges and one Hao Xuliang all picked up the medical records to investigate carefully.

I watched everything from medical records to laboratory tests to abdominal color Doppler ultrasound, but I didn't see what happened!

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

Several people looked through the medical records inside and out, but nothing was gained.

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 shows 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 give up and already started shaking their heads.

Upon seeing this, Liu Siqi said excitedly: "Everyone, is there any possibility of an extraperitoneal appendix in this patient?!"

As soon as he said this, people around him frowned.

At this time, Chen Cang had already begun to use his sword!

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 is an extraperitoneal appendix, it is best to be careful not to spread inflammation.

The incision is not large, 4cm.

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

After the cut, a stinking odor suddenly came!

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

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

Chen Cang took a look at the location, and he saw a crimson appendix, which was already congested and swollen, and there was even purulent fluid oozing out around it, and the stench suddenly came.

Extraperitoneal suppurative appendicitis monster, lv29, leader blame!Features: High concealment, easy to spread inflammation, prompt: handle with care and don't act recklessly.

Sure enough, extraperitoneal ectopic suppurative appendicitis!

Moreover, this is still a big guy!

Level 29, the boss is strange!

Will the artifact explode if killed?

Chen Cang couldn't help feeling a bit of surprise in his heart. After all, he diagnosed and discovered it by himself. It's nothing more than being a happy doctor.

At this time, the office was silent!

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

Is this too fake?

Is this acting?

Hundreds of appendix surgeries don’t necessarily have such a thing. I ran into it today, and... it seems to have been diagnosed by this little doctor?

How is this possible!

Several old experts frowned!

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

This sound said the voice of everyone!

Hao Xuliang was also stunned at the same place, his eyes were full of incredible, thinking, this kid is also unlucky, right?

Encountered such a weird thing!

Liu Siqi didn't know what to say. It turned out to be extraperitoneal appendicitis. Fortunately, he didn't act so recklessly. Otherwise, the inflammation would spread and it would be totally unfavorable for later recovery.

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

Finally someone couldn't help asking: "Lao Liu... are you asking?"

Liu Siqi glared angrily: "You are the mop! Why am I holding it!"

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

Liu Siqi sneered and pointed to the medical record: "Naturally depends on your strength! The so-called reading a hundred times is a matter of self-seeing... You just have to think about the medical record carefully and read more, naturally..."

When everyone saw Liu Siqi pretending to be such a deep B, they looked at each other. After three seconds, they finally couldn't hold back: "Speaking!"