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

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

It's just that the diagnosis given by the big pig's trotters this time made Zheng Ren can't believe it.

Parasplenic torsion......

This diagnosis...... If the patient has pain in the upper abdomen, Zheng Ren probably believes it immediately. However, the patient had pain in the lower abdomen, so Zheng Ren cautiously prepared to do a B-ultrasound examination by himself.

There are no abnormalities in the uterus and both ovaries, and a mass about 5 cm in diameter is seen next to the left ovary.

It seems that the disagreement is here.

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

When pressed, Zheng Ren noticed that the mass was separated from the ovaries, and several thick blood vessels were visible inside.

Zheng Ren agrees with the doctor in the ultrasound room, although the physical examination looks very similar to an ectopic pregnancy.

"What about the family. Zheng Ren asked.

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

"The source of the mass is unknown and surgical exploration is required. Although Zheng Ren had a certain number in his heart, he still cautiously described it in a broader sense, "Prepare for hospitalization and surgery." ”

The sweat of the middle-aged woman came down directly.

When most people hear that surgery is going to be performed, how can they not be afraid.

Jokes similar to the deaths of patients after appendicitis resection are widely circulated among everyone. Although the odds are low, it makes people feel intimidated by surgery.

"Mr. Zheng, call me during the operation, I'll take a look. "The gynecology inpatient always saw that the emergency department took over this tricky job, and I was very happy.

But she was interested in the diagnosis, she didn't think that her diagnosis was wrong, but the doctor of the ultrasound also made sense, so she was ready to go and see what happened.

In general, doctors hate exploratory laparotomy and exploratory thoracotomy surgeries.

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

It takes a lot of clinical and surgical experience to solve some unexpected symptoms.

One is not careful, and the consequences are unpredictable.

Therefore, the gynecological hospitalization always did not insist, anyway, it was all exploration, and if ectopic pregnancy or other diseases were found, it was done directly.

She followed, in addition to seeing what was going on, but also because she was afraid that Zheng Ren would have no experience in ectopic pregnancy surgery.

Now Zheng Ren has a high reputation in the gynecology department because of the medical trouble, and although the hospitalized director of the gynecology department does not agree with some of Zheng Ren's diagnoses, he still wants to help him.

Zheng Ren didn't care and nodded.

Today is Zhong Min from the Department of Internal Medicine on duty, Zheng Ren informed Yang Lei to come over for surgery while walking, and then called Chu Yanzhi over.

He didn't know how the sisters of the Chu family arranged their shifts, anyway, just call one at random.

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

Zhong Min is responsible for picking up patients, asking for medical history, and writing various written materials. Zheng Ren seized the time to give a preoperative explanation to the patient's family.

Regardless of the diagnosis, it is an emergency department, and time is precious.

The patient's mother wiped her tears and signed her name on the consent form.

After signing this face, the nurse has already left the stomach tube and urinary tube in place.

Yang Lei's home is a bit far away, and Zheng Ren directly pushes the patient to the operating room with the patient's family.

When he was sent to the operating room, Chu Yanzhi had already arrived, and several people worked together to move the patient to the operating table, and Zheng Ren went to change clothes.

It takes ten minutes to prepare for the operation, because the anesthesia procedure is cumbersome, and Zheng Ren is not particularly anxious.

Zheng Ren has been thinking about this diagnosis given by the system.

In histoculture, the accessory spleen is due to the failure of fusion of the spleen primordium located in the dorsal mesangium of the embryo at week 5.

Clinical diagnosis is difficult.

CT scan of the accessory spleen is generally less than 2 cm with smooth margins, and the scan shows a donor artery originating from the splenic artery into the accessory spleen.

B-ultrasound can only be used as an adjunct, and it cannot find the branch of the splenic artery to feed the blood vessel like the non-contrast MRI scan, and enter the tissue that may be the accessory spleen.

Because the patient is an emergency patient, there is no time or conditions to complete various examinations. Therefore, laparotomy can only be used as a surgical solution.

After Zheng Ren changed into an isolation gown, he called the medical office and asked his colleagues from the pathology department to come and work overtime.

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

However, it occurs in the pelvis, which is very far away, and there is a possibility of a tumor.

If you want to rule out that the mass is tumor tissue and that the splenic artery is divided into a branch to feed, you can only confirm it by doing a pathological diagnosis.

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

And because of this possibility, Zheng Ren can't do laparoscopic surgery.

Because of the small hole of the laparoscopic surgery, the accessory spleen cannot be removed. If it is broken and removed, once it is tumor tissue, a large number of implants will metastasize, resulting in the tumor disease directly entering the advanced stage.

After everything was thought through, Zheng Rencai came out of the locker room, made a phone call to the general manager of the gynecology department, and began to brush his hands to prepare for the operation.

Chu Yanzhi was jumping around, the patient had finished anesthesia, and she was chatting with Shay.

In fact, it was a chat, mainly she was talking, and Shay was busy preparing the surgical equipment, and at the same time, he agreed.

She asked where Shay had gone and why he hadn't returned home, not noticing the slightly awkward silence of Shay and Jung-in.

The girl with thick lines is the opposite of Chu Yanran.

I don't know if it's the reason why all the delicate thoughts of identical twins fell on Chu Yanran's side.

Yang Lei hadn't arrived yet, and Zheng Ren didn't wait for him, after brushing his hands, he directly disinfected, laid out the sterile sheet, and prepared to open the stage.

It's not a big deal to do surgery alone, Zheng Ren has long been used to it.

Zheng Ren glanced at the operation area, because considering the age of the patient, he still hesitated, and finally took an incision next to the rectus abdominis muscle on the left side near the middle and lower abdomen, about 8cm long.

The incision is a bit long because the source of the blood vessel needs to be explored during the operation.

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

The skin is incised, and the subcutaneous tissue, fat, and peritoneum are bluntly separated.

The patient is relatively young and the fat layer is not thick, so the surgery is very easy to do.

At this time, the gynecology hospitalization always rushed.

Seeing that Zheng Ren was doing surgery alone, she asked, "Mr. Zheng, am I on stage?"

"No, Yang Lei will be here soon. Zheng Ren did a membrane cover to protect and directly open the abdominal cavity.

Seeing that the abdominal cavity was opened, the general manager of the gynecology hospital no longer spoke, but watched the operation intently.

The large retractor pulled the skin and muscle tissue of the lower abdomen apart, and Zheng Renhe found the source of the pain in the patient's lower abdomen - a dark red soft tissue next to the ovaries.

It's just that the dark red is a little dark, and some is black.