Chapter 443: A Rare Case of a Mirror Man
Okay, okay, I'll go through the hospitalization procedures now!" Lu Wei nodded.
Obviously, he still believes in Ruan Bin a little. After all, Renji also recommended him to find Ruan Bin before, and then he didn't believe it at first, and then Director Shao here also asked him to find Ruan Bin, and only Ruan Bin could solve this kind of problem.
Now that Ruan Bin said that he can have surgery, will he still consider it?
......
In a flash, it was afternoon.
Since Ruan Bin is now a newcomer to the specialist outpatient clinic of the Department of Hepatobiliary and Pancreatic Surgery, almost all patients who come to our hospital will not be called by him, except for the patients introduced by the hospital.
The main reason is that the other three experts are famous, and they are basically based on other people's numbers.
After all, when a patient comes to see a doctor, he must have done his homework beforehand!
"Doctor Ruan, are you free now?" Suddenly, Director Shao, who was sitting in the expert consultation room next door, walked in.
"Well, there are no patients calling me now, I should be free, what's wrong?" Ruan Bin looked at Director Shao and asked puzzled.
"I have a tricky patient here, the situation is more complicated, and I would like to ask you to help with the checks. Director Shao explained his intentions.
"I'll take a look. ”
In three or two steps, I came to Director Shao's consultation room.
At this time, there were three people in the consultation room, an old couple in their fifties, and a young man in his early twenties.
"The patient is this uncle, you take a look at his examination images first!" Director Shao handed a CT scan to Ruan Bin as he spoke, and continued: "I have had abdominal pain for three days, and today I went to our department for examination because of the pain in my left upper abdomen, and I was diagnosed and treated in a general outpatient clinic before. After the results came out, they came directly to me. ”
Ruan Bin looked at the CT image, and his brows suddenly wrinkled!
Ruan Bin saw that the patient's heart and spleen were on the right, and the liver was on the left!
In normal people, the new spleen is on the left and the liver is on the right......
"I have already called the imaging department to report that they have been re-examined, and just now I also asked this uncle to do another examination, and the results should come out soon! If it weren't for the problems with our machines and filming, then the situation would be ......complicated," Director Shao said solemnly.
"If the image is not wrong, then this uncle should be a rare mirror man!" Ruan Bin said with a sigh. "That's right, that's what I guessed!" Director Shao agreed.
"Mirror man" is also known as "mirror man" or "mirror man", that is, the position of organs such as the heart, liver, spleen, gallbladder and other organs is opposite to that of a normal person. At present, there is no scientific conclusion on the cause of the phenomenon of "mirror man". Medical experts believe that the "mirror man" is related to a mutation during the development of a human embryo, and the probability of occurrence is about 1 in a million.
At the same time, "mirror man" is a rare congenital malformation, that is, the total visceral inversion, which is an extremely rare anatomical variation of the human internal organs, which refers to the 180-degree reversal of the position of all internal organs such as the heart, lungs, diaphragm, liver, spleen, stomach, and intestines
However, although the internal organs of the "mirror man" are all misplaced, only the position has changed, and the relationship between them has not changed, so the physiological function is the same as that of a normal person, and it does not have much impact on health and life. However, it is worth noting that once the "mirror man" is sick, the doctor is very likely to misdiagnose if he makes a routine judgment.
There is nothing wrong with misdiagnosis, the most important thing is that I am afraid that the mirror person will get sick and need surgery!
That's a big problem!
For example, Ruan Bin now looks at the examination images and finds that his uncle has gallbladder stones and multiple stones in the common bile duct! Of course, for doctors in hepatobiliary and pancreatic surgery, laparoscopic cholecystectomy is naturally handy.
But since the uncle is now the reverse organ, the problem is different.
Take the cultivation of the Nine Yin True Scripture in the martial arts, Guo Juxia has no problem cultivating the Nine Yin True Scripture, right? But what about Ouyang Feng, he directly came to a retrograde cultivation of the Nine Yin True Scripture, and there was something wrong with his cultivation, right?
Anyway, it is to operate on patients in this situation, because the endoscopic instruments are designed according to the position of the internal organs of normal people, and in the face of the situation of "mirror people", they have to face away from the monitor, overcome many unfavorable factors such as reverse entry, curved mirror operation, reverse radiological image, and opposite direction of stone removal. Surgery requires reverse thinking, and the operation is difficult.
Moreover, the anatomical structure and spatial conformation of the mirror man are special, the reverse of the structure makes the surgical technique and instrument direction completely different from usual, the surgical thinking and operation are reversed, and the long-term inflammation makes the diseased tissue adhesion great, and the difficulty of the operation is not generally high!
Sure enough, the results of the second examination came out again, there was no problem, it was not a problem with the inspection machine, then this uncle was a real mirror man patient!
"My organs are rebellious?" Uncle Li Guihai was stunned for a moment, obviously a little unable to turn his brain.
His son Li Jun was also stunned and said, "Director Shao, are you saying that my father's organs are flipped 180 degrees? This, this is impossible, right?"
"Nothing is impossible, I believe you have also seen a lot of martial arts, which describes that some people's hearts are no longer on the left, which refers to this kind of people. This kind of person is rare, but that doesn't mean there aren't. However, it does not affect normal life and health. Director Shao explained.
"So what about my dad now?"
"Let's do a detailed endoscopic retrograde cholangiopancreatography examination, and as for the surgery...... Consultation is required when the results of the examination are available. Director Shao said.
"Okay. The family hurried to check it up again.
Sitting in the consultation room.
"Director Shao, haven't you had a similar operation?" Ruan Bin asked when he saw that Director Shao seemed to be a little anxious and looked unconfident.
"No, I have never encountered this kind of patient! You must know that there are less than 20 cases of successful ERCP diagnosis and treatment in mirror people in the world reported at home and abroad. There is no more clinical experience to draw on. If this operation is really done with us, we don't have the slightest experience!" Director Shao was embarrassed.
Ruan Bin was also silent after hearing this.
Less than 20 surgeries have been recorded worldwide, and all of them are abroad.
It's a bit of a blind man touching an elephant.
The difficulty of the operation is not ordinarily high!
"Ding-dong...... System Temporary Mission: Ruan Jiucheng You can, challenge it!Complete the task and reward 1 chance to draw a lottery. ”
“......”
"It's a mission again. ”
"Dr. Ruan, have you read the relevant surgical literature? Or, are you sure?" Suddenly, Director Shao remembered the demon in front of him!
has created many domestic firsts and created a lot of new techniques, maybe what does this demon say?
"I'm 90% sure. ”
"Poof~ What?"