Chapter 3271： 【3271】Rare

"This situation allows me to report to you, Director Ding." Dr. Gu said incoherently.

"What diagnosis?"

"Diagnosis—" Dr. Gu did not dare to exit the acute appendicitis he had sworn before.

"It may be necessary to ask various departments for further consultation." Doctor Qian hurriedly patched. If he and Dr. Gu couldn't come up with a diagnosis, they could invite more colleagues into the pit.

"Difficult and miscellaneous diseases." Ding Conghong quickly understood what they meant, pondered in his throat and turned to face him, "Doctor Xie Wanying, what is your diagnosis?"

There was a sudden silence between the two groups of people at the scene.

Zeng Wanning was breathing fast, his leader asked Xie not to ask him.

Dr. Gu and Dr. Qian looked at each other again: This female doctor seems to be very old, what is the reason for Director Ding to ask her the patient's diagnosis?

Cao Yong's eyes narrowed.

Song Xuelin bit the straw in his mouth.

Pan Shihua's eyes are full of warning lights.

"You are Mr. Tan's top student." Ding Conghong expressed his reason for asking people, "I hope you can give me some advice, so that I can make a decision quickly and help the patient."

Must be, the attitude of a doctor in a big hospital and a doctor in a small hospital are completely different. Regardless of whether this person is from the Ding family, Xian, the other party will never commit the scruples that her cousin's uncle exposed on his face. The diagnosis must be made clear to the other party. The consequences of misdiagnosis are unimaginable. Some diagnoses are difficult to identify and may even only be confirmed during surgery. Therefore, it is impossible to say that the doctors of the other hospital are at fault. If true, this

A disease is super difficult to check.

"I suggest doing it immediately for the patient, Director Ding." Xie Wanying, "focus on checking the appendix and small intestine."

"Is the patient suffering from small bowel disease?" Doctor Qian turned his head and asked Doctor Gu.

Dr. Gu settled down and pondered on some diseases that are difficult to see in clinical practice, and then seemed to be startled: "Isn't it?"

What is ? Zeng Wanning looked nervously at all the seniors at the scene.

"The second appendix of the human body." Dr. Gu said.

"What is that?" Asked by Dr. Qian, who is not a general surgeon and has difficulty remembering these rarities that are not his own specialty.

"Meckel's diverticulum." Dr. Gu rubbed his brows and admitted, "I only saw one case in pediatrics during my internship."

Meckel's diverticulum is a congenital malformation of the small bowel that is actually not uncommon. The reason why it is difficult to see clinically is because the disease is a lifelong non-onset disease in many patients. Meckel's diuresis, known as the second appendix of the human body, must be like an appendix in some places, mainly reflected in its anatomical structure. It is a diverticulum born at the end of the ileum. It can be imagined as an excess in the ileum.

A pouch. Therefore, like the appendix, if there is feces and other things stuck in the diverticulum, or an inflammatory ulcer occurs, an acute abdomen will occur. Severe, perforated bowel obstruction with massive bleeding.

Because it is in the back, the anatomical position is similar to the appendix, and the number of adult Meckel's diverticulum patients who come to the doctor with clinical symptoms is rare, so clinicians seldom think of this disease at the first time. Differential diagnosis, such as Xie said, needs to go, and others including ultrasonography are very likely to be misdiagnosed. It is not recommended to go to the emergency department for patients who have almost been diagnosed with acute appendicitis. In many cases, this disease is found not to be acute appendix after the doctor opens the patient's abdominal cavity on the operating table

【3271】Rare