Chapter 817: with translation of title

There is a mass in the duodenal bulb, but that image is from over ten days ago.

"Jiang Zong, did you do a CT?" Zheng Ren asked.

"Both chest and abdomen."

"Let me take a look." Zheng Ren said.

Jiang Zong called the circulating nurse, brought the film to the operating table, and Zheng Ren glanced at it under the light twice.

The passive ability of 【Reconstruction】 showed its advantage at this moment.

Before going to earthquake relief, Zheng Ren examined the images, and after careful analysis he could derive an approximate vague conclusion.

But now, with just a glance, his brain reconstructed the image, and the tumor's location and its relation to surrounding tissue appeared in his mind.

This child's illness… Zheng Ren sighed, not knowing whether it was good fortune or bad.

If she hadn't been so reckless, we wouldn't have discovered the space-occupying lesion in the duodenal bulb. But her constant recklessness might lower immunity, causing explosive tumor growth, and post-op it's hard to say how it will turn out.

Seeing Zheng Ren hesitate, Jiang Zong asked: "Boss Zheng, should we irrigate and close the abdomen?"

The emergency surgery had basically ended here; the only thing left to suture was the duodenal injury.

As long as we suture it, irrigate, and close the abdomen, this emergency surgery can be considered perfect.

But Zheng Ren remained silent; after nearly a minute, he said: "Jiang Zong, I'll go talk to the family."

"Uh… what's wrong?" Jiang Zong asked.

"Looking at the film, the patient has carcinoma in situ, but whether to perform emergency surgery depends on the family's opinion." Zheng Ren said.

"A tumor? Where?" Jiang Zong stared for a moment.

"In the duodenal bulb there is a flat lesion under 1 cm. It's not an intestinal image but a tumor. Removing it here, I worry about the patient's condition. But if we don't remove it, in a month or two we won't know what will happen." Zheng Ren said while stepping down from the operating table.

He picked up the pathology specimen basin covered with a cotton pad and said: "Could you please open the door for me?"

The circulating nurse understood; Boss Zheng needed to brief the family, so opening the door meant the outer door, not the operating room's airtight door.

Wearing sterile gloves stained with blood, he couldn't contaminate the operating room door handle.

All the way out of the operating room, Zheng Ren shouted: "Sister Lin!"

Lin JiaoJiao immediately ran over, followed by a group of people.

Zheng Ren glanced; the woman wailing hysterically was gone—likely the patient's mother, now cried out and sent back to rest.

A man with a grim, solemn expression stood beside Lin JiaoJiao, looking at Zheng Ren.

Lin JiaoJiao said: "Boss Zheng, this is Mengzi's father, Mr. Zhou Zhen."

"Hmm." Zheng Ren nodded and said: "Please step aside a bit, don't get hurt."

Hearing Zheng Ren say that, everyone's faces looked strange. What was taken out?

Zheng Ren gently opened the cotton pad, and a black metal ball appeared before everyone's eyes.

"Ah..."

Countless suppressed soft cries sounded.

"Mr. Zhou, what is this? I'm not entirely sure either; it was taken from the patient's stomach." Zheng Ren said.

A flicker of surprise crossed Zhou Zhen's face, but it instantly turned to anger.

"Is this a hunting iron pellet?"

"It looks like one, but more advanced than any I've seen."

"How was this swallowed?"

In the back, a few people whispered and discussed.

Older people, those from out of town, or those who love hunting, are familiar with this.

As Zheng Ren guessed, this iron pellet is meat-wrapped, turned into a honey-coated poison pill, eaten by large livestock, then churned in the stomach, causing massive bleeding.

The girl named Mengzi is truly ruthless; wanting to commit suicide, she actually chose such an unimaginable method.

"Boss Zheng, thank you." Zhou Zhen controlled his emotions and said softly.

"It's fine." Zheng Ren said: "Now we face several issues. The patient's injuries are under control, but a prior ERCP confirmed an ulcer and carcinoma in situ in the duodenal bulb."

Zhou Zhen nodded; he could still think, his thoughts not scrambled by the sudden event.

"The current situation is liver rupture, spleen rupture, stomach rupture, duodenal bulb rupture, and hemorrhagic shock." Zheng Ren covered the cotton pad again; he really feared this metal ball might still pull some trick.

In Zheng Ren's mind, this damn thing is either a blood-dropper or the kind that seals the throat on sight.

"The bleeding parts have all been sutured now; the patient's condition is poor." Zheng Ren said solemnly: "Whether to operate on the duodenal bulb depends on the family's opinion."

"Zheng… Boss, what's your opinion?" Zhou Zhen, sensing Zheng Ren's meaning, hesitated and said.

"I have no opinion." Zheng Ren spoke frankly: "The patient's condition is poor, but if surgery is performed, it would require a pancreaticoduodenal resection, with the stomach needing reconstruction via rerouting. Given the patient's prior gastric bypass, doing it again would cause much greater damage than usual."

"Is the chance of success not high?" Zhou Zhen asked.

"The surgery itself is fine, but the patient has gone into hemorrhagic shock because of this thing; each extra minute of surgery brings many unpredictable situations." Zheng Ren glanced at the pathology basin and said.

Zhou Zhen's expression darkened.

"You see..." Zheng Ren looked into Zhou Zhen's eyes and asked.

"Sigh." Zhou Zhen sighed, two streams of turbid tears unknowingly flowing down: "Let's just get through this hurdle."

"In a moment, the general surgery staff will come out to sign; Sister Lin, please greet them on this side." Zheng Ren said, "Then I'll go back and close up; after surgery we'll take the patient to ICU. If there are no major complications, we estimate transfer out in three to five days."

Zheng Ren still wanted to persuade, but after a slight hesitation he turned and left.

This young patient has psychological issues; I don't know if it's because the family is too well-off and spoiled, or due to other reasons.

Zheng Ren had no interest in gossip; several diseases mixed together, performing a pancreaticoduodenal resection under hemorrhagic shock, the young patient's body definitely couldn't hold up.

That's all we can do; I'm not a god.

His mood somewhat odd, Zheng Ren carried the pathology basin back to the operating room.

Jiang Zong asked: "Boss Zheng, how is it?"

"The family refused to undergo pancreaticoduodenectomy, let someone go out to find the family to sign. I know Lin JiaoJiao, Sister Lin outside; go find her and listen to her on the side." Zheng Ren said.

"Okay." Jiang Zong then had his junior doctor go out to find the patient's family to sign.

Zheng Ren scrubbed up, changed clothes, and went back on stage.

The external injuries were mostly done, all kinds of wounds have been treated, no longer bleeding.

Zheng Ren looked at the patient's duodenal bulb, sighed. If it weren't for these troublesome things, doing the surgery to remove it, the patient should be fine.

So young, what a pity.

Using such a bizarre method to commit suicide... What on earth is this child thinking? Being alive, isn't that good?