By the time professor yang rushed over from home, President Chen had already asked about her medical history. The patient had indeed bought roundworm egg capsules half a year ago and had taken them orally to lose weight.
It was said that the effect was not bad, and the patient had slimmed down significantly in the past six months.
However, 12 days ago, she began to feel pain in her upper abdomen. The patient thought it was radiation-like pain because she was on her period and didn’t pay much attention to it at the time. However, her period was over, and her upper abdomen was still in pain. She still did not come to the hospital.
Because of her nausea and retching, she had always thought that it was a gastrointestinal cold. She had taken the corresponding medicine and prepared her resume to find a job.
He didn’t expect that his condition would suddenly worsen today, to the point that he vomited worms.
Professor yang looked at the X-ray. According to the medical history, the biliary tract should have roundworm obstruction. Roundworms drilled into the biliary tract from the position of the large aren’t in the duodenostomy tube, forming biliary obstruction.
Different from other parasites, roundworms were longer and thinner, and the position they drilled in was deeper.
This surgery … Was going to be troublesome. Professor yang was speechless.
Biliary roundworms weren’t very common now. After all, there were so many anthelmintic drugs. If he felt something was wrong, he could just take the anthelmintic drugs.
Moreover, roundworms were most likely to induce intestinal obstruction, not biliary obstruction.
Incision? The position was very deep, and the liver was removed to take the roundworms … To be honest, professor yang really didn’t dare to make this incision.
It would be difficult to accurately find the position of the roundworms if they were cut open, but this was not a problem for the professor leading 912’s group. Any professor in the Department of Hepatobiliary and Pancreatic Surgery could find a position there.
However, the difficult part was how to take the bug out intact.
Moreover … The stomach and intestines were filled with roundworms. If they could come out of the mouth, there might not be many worms.
Professor yang took a look at the time. It was 1:35 A. M.
I don’t care anymore. I’ll consult the entire hospital!
Immediately!
Immediately!
In his opinion, it was also worth considering to use ERP to reverse the flow of the stone to remove roundworms. Moreover, it would cause less damage and was considered a minimally invasive surgery.
He just didn’t know if the people in the laparoscope room dared to do it.
Regardless of whether he dared to or not, the worm in the bile duct was one thing, and the worm in the stomach and intestines also had to be taken out. He couldn’t cut open the stomach and intestines and reach in to dig out the worms. It was hard to say if it could be removed completely, and the patient would be severely injured.
He made phone calls and had emergency consultations.
Although it was quite annoying to ask for a consultation at this time, the patient was rolling on the Gurney in pain, and it could not be delayed.
There were no staff on duty at night when it came to Gastroenterology surgeries. This kind of emergency might not happen once in a year or two. If there was a related surgery, they would still have to call home and rush over.
Thirty-five minutes later, the second-string professor from the endoscope Department rushed over. He looked at the image without saying a word.
After watching for about ten minutes, he sighed. He discussed with professor yang and called Dean Luo over.
He was not afraid of talking and laughing on the stage. When the doctor said that he was fine, under normal circumstances, it meant that he was fine, not that he did not take it seriously.
He was most afraid of doctors being called from home one after another in the middle of the night. Their ranks were getting higher, their ages were getting older, and their expressions were getting more and more serious. Everyone knew what this meant.
However, Zheng Ren and Su Yun were the last to receive the call. It was rare for him to suddenly become so young.
“Who is calling you in the middle of the night? If there’s an emergency, just go. Why did you call me?” Su Yun was in a bad mood after being woken up.
“They said that there’s a biliary roundworm patient, and the location is deeper.” Zheng Ren was already ready to set off, and he urged,””Hurry up,”
“Aren’t you enough to prepare for ERP? Let me sleep a little longer. ” Although Su Yun said no, her body was very honest.
He grumbled unhappily as he put on his clothes.
“I’m thinking of using a bag bag and a pair of grappling hooks at the same time. It requires a dual user to operate it, and it can’t be done by one person. ” “Hurry up,” Zheng Ren said seriously.
“Big brother, biliary roundworms are not fatal!” Su Yun was indeed grumpy when she woke up. She did not even call him boss but big brother.
However, even though she said that, Su Yun quickly put on her clothes and the two of them tiptoed downstairs.
Blackie squatted by the stairs, staring at the two with wide eyes. In the dark night, Blackie’s eyes glowed with a green light, looking a little fierce.
“Shh.” Zheng Ren went downstairs and patted the dog’s head.”We’re going to work. You should sleep well.”
“Hurry up. It’s an emergency treatment. Are you still walking the dog?” Su Yun directly retorted.
“Lower your voice, they’re sleeping.” Zheng Ren put on his shoes and opened the door.
“How long has it been since I was woken up in the middle of the night?” Su Yun asked while yawning.
“It’s been two months,” Zheng Ren said,”life without the emergency department is really comfortable.”
“I haven’t seen a patient with biliary roundworm for many years. This disease is generally caused by taking an insect repellent and killing the patient first. In the future, he would take it out if he could. If he could not, he would just wait for the calcifying stone. What’s wrong with you today?” Su Yun analyzed the illness from the beginning, and there were many suspicious points that she could comment on.
“Maybe the patient’s condition is special? Department Director Luo tried it, but he cut off the roundworm, leaving half of it in the biliary tract. ” Zheng Ren made a random guess.
They took the elevator down and ran through the night sky of the capital.
Zheng Ren still hadn’t bought an electric bike. Although it was much safer now, it wasn’t used often. Just charging it was troublesome enough. It would be more convenient to run, anyway, that was what he thought.
Simple and direct were Zheng Ren’s aesthetics.
Zheng Ren quickly arrived at the laparoscope room, changed his clothes, and walked in. He saw a figure flashing at the entrance of the ERP room. Just as he had guessed, they were preparing to use ERP to solve the problem.
Zheng Ren strode over, but he did not see ERCP. Department Director Luo was operating on the stomach and taking things out bit by bit.
Zheng Ren was stunned when he saw the screen.
What the f * ck is this?! Zheng Ren cursed in his heart.
Under the gastroscopy, you could see the White things in the stomach. How could it be in his stomach? Zheng Ren was also a little confused.
Generally speaking, although roundworms were not afraid, they would not live in stomach acid. The high acidity was not a “habitable” environment for them.
However, in the blink of an eye, Zheng Ren thought of several possibilities, such as severe vomiting, gastric acid loss, and reflux in the colon, which passed through the pylorus and entered the stomach. This situation could occur.
But no matter what, it was rare to see so many roundworms. Zheng Ren made a prediction in his heart.
“Boss Zheng, you’re here.” Professor yang said.
“Hmm, let’s take out the one in the stomach first?” Zheng Ren nodded.”Department Director Luo, what should we do about the biliary tract preparation later?”
“Take out the worms in the stomach and colon first. If there’s a problem with ERCP, we’ll discuss it again. ” Department Director Luo concentrated on the operation and briefly explained his thoughts to Zheng Ren.
Zheng Ren walked in and was surprised to see a red trash can beside director Luo. There were more than a dozen yellow and white roundworms wriggling inside.
