On the film, the patient has no spleen.

If left in place, a scar tissue can be vaguely seen.

"Well, I guess I had a splenectomy." Zheng Ren then asked: "Who is the patient?"

"It's my lover." The middle-aged man replied cautiously.

"How many years ago was splenectomy done?" Zheng Ren asked.

"Twenty-two years ago, I had a car accident and then had a splenectomy." The man replied immediately.

When a doctor watches a movie, the first question is about splenectomy. It is not a mirror person, and nothing special.

Zheng Ren continued to hold his chin and watched. The professor stood behind him and focused on reading the film.

I haven't watched a movie with my boss for a long time. This feeling is really great.

A few minutes later, the professor said: "Boss, this liver cancer is a bit strange, why do I think it is not?"

"Well, it's a little strange, but it's hard to say if it's not liver cancer." Zheng Ren held his cheek and looked at the film and said, "I highly suspect that it was ectopic spleen transplantation, not liver cancer."

"What?" Professor Rudolf Wagner was surprised. "Boss, how did you see it? Is this a bit bald and backstand?"

As he said that, the professor clicked on a location with abnormal signal on the film.

"It's not all, there's just a little abnormal signal. Fuguier, have you noticed that the patient had an interventional embolization."

"I noticed it." Professor Rudolf Wagner seemed to remember something when he heard Zheng Ren talk about embolism, staring at some frames of the film and looking carefully.

Zheng Ren did not continue to explain. It was enough to say this to the professor's film reading level.

The middle-aged man was confused.

In theory, shouldn’t the scammer say the worse the disease, the better? But how could this young “doctor” say it’s not liver cancer?

What is the transplantation of ectopicity?

Has it been transferred?

His head was full of doubt, and his ears erected, wanting to listen to the conversation between Zheng Ren and Professor Rudolf Wagner.

But they both then remained silent, without saying a word, and began to "face" with the film.

A few minutes later, the professor clenched his fist with his right hand and hit the palm of his left hand, making a "pop". This action was learned from the professor and Su Yun.

"Boss, I figured it out! It's indeed an ectopic spleen transplantation!" Professor Rudolf Wagner said happily.

"Well, the diagnosis is relatively clear. Especially after an interventional embolization treatment, it can be basically confirmed." Zheng Ren said.

After saying that, he took off the film and put it in the film bag, and said, "You go and find Teacher Yang. I will write it on the paper after diagnosis. This disease, Teacher Yang has an excision surgery and a postoperative pathological diagnosis, which is enough."

As he said that, Zheng Ren found an abandoned A4 paper. He drew a few lines on the front of the handwriting, indicating that it would be invalid, and then wrote his own diagnosis and surgical advice on the back.

The patient's family was stunned.

Many things Zheng Ren might have said in his mind, and he made emergency plans for each one.

If it was a liar, he knew what to do.

However, this young "scammer" sent himself back to general surgery.

Did you guess wrong?

The middle-aged man held the paper in his hand and looked carefully at the words on it, becoming puzzled.

"Go, I heard from Teacher Yang that your lover had upper abdominal pain all year round, which was caused by spleen transplantation and liver accumulation. Nothing big is going on, just remove it." Zheng Ren said, taking out his cell phone.

He first left a note on Professor Yang's cell phone and then dialed it out.

"Teacher Yang, I've finished watching the patient's film."

"Well……"

"Okay, OK. Brother Yang, the film is considered to be ectopic spleen transplantation, not liver cancer."

"Yes, yes, your judgment is correct. If you have a bed, please go to the hospital. Have a resection surgery, pathology... You can tell that it is spleen tissue after being cut during the operation."

"Oh, OK, the patient's family is here. I'll take it with me..."

"Okay, then I'll wait for you."

After saying that, Zheng Ren hung up the phone.

"Teacher Yang... Brother Yang said that he would come down for a while, wait a moment, so he would avoid not being able to meet him." Zheng Ren and the patient's family said.

The patient's family was confused, and the development of the matter was completely deviated from his expectations.

Soon, Professor Yang hurried to the interventional department wearing an isolation suit and a sterile cap.

"Boss Zheng, I don't think it's liver cancer." After entering the door, Professor Yang said hurriedly.

It seems that he had just stepped down from the stage and didn't even have time to change his clothes. It might even be that he had time to run away during the operation.

"Ninety percent probability is ectopic spleen transplantation." Zheng Ren nodded.

Zheng Ren cannot do this and dares not guarantee 100% of this kind of thing. If the freezing of ice during the operation is malignant, it will be impossible to explain it.

Without the gold standard of pathology, Zheng Ren has to doubt the diagnosis of the big pig's hooves.

"Boss Zheng, your level is really high." Professor Yang praised: "Tell me how you can see it."

Zheng Ren felt a little strange. Professor Yang was like this when he had an autologous liver transplant?

However, when he saw Professor Yang concentrate on watching the movie, he seemed to be talking to him, and without thinking too much, he smiled.

"You are not an interventionist, so you don't know much about the interventional images." Zheng Ren said: "The patient had an interventional embolization. Look here. From the images of iodine oil deposition after embolization, there are only embolization necrosis foci, while typical liver cancer foci are not shown in the image."

"Very few liver cancers will show this kind of image. In addition, the patient's medical history, intermittent abdominal pain for many years, and a past history of splenectomy 22 years ago, so I judged that the possibility of ectopic spleen transplantation is relatively high."

Professor Yang watched the movie, Zheng Ren's words solved several of his questions, but the reasons were not very sufficient.

Zheng Ren's words can have a high probability of negating liver cancer, but spleen transplantation cannot be denied.

"Boss Zheng, if you want to plant spleen..."

"The 64-row CT enhancement before the operation showed that the lesion site showed uniform strengthening in the arterial stage, while the venous stage was slightly strengthening. Angiography showed that the branches of the hepatic artery provided this round blood-rich mass. At this time, it was suspected that it was liver cancer, and there was no error." Zheng Ren said, picking out another film from the pouch.

"After the postoperative review, the arterial enhancement of the nuclear magnetic field was not obvious, but the metastatic lesions on the abdominal wall showed the opposite characteristics." Zheng Ren said: "Because the blood vessels in the abdominal wall lesions are relatively thin and there is no embolization treatment, which is particularly similar to the postoperative image of splenomegaly."

Interventional embolization treatment of splenomegaly and cirrhosis can effectively increase the values ​​of white blood cells and platelets.

Although Zheng Ren has never performed it, his interventional surgery is close to his peak, and he knows this "small surgery".

"So, I'm most likely sure that the local doctor had a splenic embolization surgery." Zheng Ren smiled.
Chapter completed!