Chapter 443 Rare cases of mirror people
"Okay, okay, I'll go and go to the hospitalization procedures now!" Lu Wei nodded.
Obviously he still believes in Ruan Bin now. After all, Renji recommended that he ask him to find Ruan Bin before, but he didn't believe it at first. Later, Director Shao here also asked him to find Ruan Bin, and only Ruan Bin can solve this problem.
Now Ruan Bin says that surgery can be done, will he not consider it?
...
It was afternoon in a flash.
Since Ruan Bin is now a newcomer to enter the expert clinic of hepatobiliary and pancreatic surgery, except for patients introduced by the other hospital, who will ask him for treatment, almost all patients who come to our hospital will have his ID.
The main reason is that the other three experts are very famous and basically they will hang other people's accounts.
After all, the patient came to see the doctor and must have done his homework in advance!
"Doctor Ruan, are you free now?" Suddenly, Director Shao, who was sitting in the clinic next door, walked in.
"Uh, there are no patients on my account now, so I should be free, what's wrong?" Ruan Bin asked in confusion as Director Shao asked.
"I have a difficult patient here, and the situation is quite complicated. I would like to ask you to help me check it out." Director Shao explained his purpose.
"I'll go and have a look."
In just a few steps, we arrived at Director Shao’s clinic.
At this time, there were three people in the clinic, an old couple in their fifties and a young man in his early twenties.
"The patient is this uncle. You should check his examination image first!" As he said that, Director Shao handed a ct to Ruan Bin and continued: "I have had abdominal pain for three days. Today I went to our department for examination due to pain in the upper left abdomen. I was diagnosed and treated in the general outpatient clinic before. After the results came out, I transferred to me directly."
Ruan Bin looked at the ct image and frowned immediately!
"Is this ct correct? Or is there a problem with the machine?" Ruan Bin saw the patient's heart, spleen on the right, and liver on the left! It was completely opposite to normal people!
For normal people, the spleen is on the left and the liver is on the right...
"I have called the Imaging Department to report that they have a review. I asked this uncle to do another inspection just now, and the result should have come out soon! If it weren't for the problem with our machine 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 person!" Ruan Bin breathed out. "Yes, I guessed like this too!" Director Shao agreed.
"Mirror man" is also known as "Mirror man" or "Mirror man", that is, the location of the heart, liver, spleen, gallbladder and other organs is opposite to that of normal people. At present, there is no scientific conclusion on the cause of the "Mirror man" phenomenon. Medical experts believe that "Mirror man" is related to mutations during the development of human embryos, and the probability of occurrence is about one in one million.
At the same time, "mirror man" is a rare congenital deformity, which is the reversal of the entire internal organs. This is an extremely rare anatomical mutation of the human body, which refers to the position of the heart, lungs, diaphragm, liver, spleen, stomach, intestines, etc., inverted at 180 degrees.
However, although the internal organs of the "mirror" are all misaligned, their positions have changed and their relationships have not changed. Therefore, their physiological functions are the same as those of normal people and have no great impact on health and life. But it is worth noting that once the "mirror" becomes ill, the doctor will most likely misdiagnose if he judges according to the routine.
There is nothing wrong with misdiagnosis, the main reason is that people with mirrors need surgery if they get sick!
This will be a big trouble!
For example, Ruan Bin now looked at the examination of the image and found that the uncle's gallbladder stones and common bile duct had multiple stones! It is necessary to undergo laparoscopic cholecystectomy. Of course, for doctors in hepatobiliary and pancreatic surgery, laparoscopic cholecystectomy is naturally easy to get.
But now the uncle has a reverse organ! The problem is different.
Take the practice of the Nine Yin Scriptures in martial arts as an example. Guo Juxia has no problem in practicing the Nine Yin Scriptures, right? But Ouyang Feng, just go to practice the Nine Yin Scriptures in retrogradely, and he has a problem in practicing it?
Anyway, it is to perform surgery on patients in this situation, because the endoscopic instruments are designed based on the internal organs of normal people. In the case of "mirror", they have to turn their backs to the monitor and overcome many unfavorable factors such as reverse entry of the mirror, curved mirror position operation, reverse radiation image, and opposite direction of stone extraction. The operation requires reverse thinking, and the operation is difficult.
Moreover, the mirror human anatomy and spatial conformation are special. The reverse structure makes the surgical techniques and instrument directions completely different from usual. The surgical thinking and operation are reversed. In addition, long-term inflammation causes the lesion tissue to be adhered to, so the difficulty of the surgery is not ordinary!
Sure enough, the second inspection result came out again. There was no problem. It was not a problem with the inspection machine. Then this uncle was a real mirror patient!
"My organ is rebellious?" Uncle Li Guihai was stunned, obviously a little confused.
His son Li Jun was also surprised and said, "Director Shao, are you saying that my dad's organs are flipped 180 degrees? This, this is impossible, right?"
"There is nothing impossible. I believe you have seen a lot of martial arts. It describes that some people's hearts are no longer on the left, which refers to this kind of person. Such people are rare, but they do not mean that they do not. However, they do not affect normal life and health." Director Shao explained.
"What should my dad do now?"
"Let's do another detailed transendoscopic retrograde cholangiopancreatography. As for the operation... the examination results need to be found, and consultation is needed." Director Shao said.
"Okay." The whole family hurried to do the inspection again.
Sitting in the clinic.
"Director Shao, have you not had a similar operation?" Ruan Bin asked when he saw Director Shao seemingly worried and unconfident.
"No, I have never encountered such a patient! You should know that there are less than 20 cases of mirror people in the world who have successfully conducted ERCP diagnosis and treatment at home and abroad. There is no more clinical experience to learn from. If this surgery is really done with us, we will not have any experience!" Director Shao said.
Ruan Bin was also silent after hearing this.
There are less than 20 surgical records around the world, and all are abroad.
This is like a bit blind man touching an elephant.
The difficulty of the surgery is not unusual!
"Dingdong... System Temporary Mission: Ruan Jiucheng, you can, challenge it! Complete the mission and reward 1 chance to draw."
“…”
"The mission is coming again."
"Doctor Ruan, have you read the relevant surgical literature? Or are you sure?" Suddenly, Director Shao remembered the monster in front of him!
It has created many first cases in China and created many new techniques. Maybe what is the saying of this monster?
"I'm only 90% sure."
"Puff~what?"
Chapter completed!