2391 Roundworm egg capsule
The chief resident of the liver and gallbladder Department rushed down for a consultation, but he was dumbfounded after looking at the film.
The patient’s upper abdomen was in obvious pain, and he was rolling around on the Gurney. But the more he moved, the more it hurt, and the more it hurt, the more he couldn’t calm down.
“I’ll look for the second-tier ones to take a look. ” The chief resident, Zhou Litao, said,”he probably needs emergency surgery.”
Zhou Litao also thought so. The patient had biliary obstruction and severe pain in the upper abdomen, so an emergency laparotomy was necessary. He estimated that conservative treatment would not be effective, and he did not dare to give painkillers casually, for fear that complications such as perforation would not be discovered.
Zhou Litao felt pain as he watched the patient roll around on the Gurney. How torturous was that?
“Okay, I’ll get someone to send the patient to the ward area with you.” Zhou Litao said.
Then, he put the ultrasound report and the CT scan of the upper abdomen into a film bag and handed it to the chief resident of the liver and gallbladder Department. The two of them strode toward the emergency resuscitation room and prepared to send the patient to the Department of Hepatobiliary and Pancreatic Surgery.
While they waited for the report of the emergency test results, the nurse from the emergency department had already inserted the patient’s gastric tube and ureter, and set up a venous access. If he wanted to prepare for surgery, he just needed to go back and prepare the skin. The efficiency of the emergency department had always been high.
When they arrived at the emergency resuscitation room, the patient was retching.
Zhou Litao had previously asked about her medical history simply, but because the situation was too urgent, he didn’t ask for too much detail.
The patient was a 24-year-old college graduate. He had just returned from school and was about to start looking for a job. However, she didn’t expect her stomach to suddenly hurt at night. Her family didn’t know about the other details.
Retch … Retch … The patient was retching. Because he vomited too violently, his stomach and intestines were already empty, and he could only vomit out some gastric acid.
She did not vomit blood, and there was no food in her vomit. Even after suffering from gastrointestinal decompression, the vomiting did not improve at all.
The nurse was helping her turn her head to prevent her from vomiting and causing more serious complications.
“Send the liver and gallbladder!” Zhou Litao said loudly and started to help push the Gurney out.
When the Gurney moved, the girl stuck her head out of the Gurney and almost hit the door of the emergency room.
Zhou Litao quickly stopped the Gurney, his heart filled with fear.
If the patient suffered a head injury due to some minor injuries, and it was considered a hospital-type injury, he would be in trouble.
Blargh … Before Zhou Litao’s thoughts disappeared, the girl began to vomit even more violently.
At this moment, she didn’t even have any stomach acid left. She kept retching violently while crying.
What kind of illness was this? It didn’t look like gallstones, so Zhou Litao was still pondering over the X-ray while instructing the patient’s family to look after the patient and make sure there were no external injuries.
However, the patient held on tightly to the Gurney’s guardrail. Her body was spasming and she was vomiting violently. No matter how her family persuaded her, her head was still outside.
Zhou Litao wanted to get someone to protect him at the side, so that he could quickly send the patient to the Department of Hepatobiliary and Pancreatic Surgery. Before he could speak, the chief resident of the liver and gallbladder Department suddenly said loudly,”Wait a moment!”
“President Chen, what’s wrong?” Zhou Litao asked in surprise.
President Chen strode to the front of the gastrointestinal decompression chamber and picked up the negative pressure bottle.
Zhou Litao focused his attention and was immediately stunned.
A worm was sucked out by negative pressure, half of its body in the tube and the other half struggling in the negative pressure bottle.
What the f * ck … What the f * ck is this?
Zhou Litao could be considered to have seen a lot, but seeing insects in gastrointestinal decompression … He had never seen it before.
President Chen’s face turned green. He was still holding the phone in his hand and communicating with the second-string professor yang. He immediately said,”I saw worms in the patient’s gastrointestinal decompression. They are white, about 6cm in length!”
“Blargh …” The patient vomited violently and finally vomited something.
It was another yellow-white Worm!
However, there was no gastric juice. The worms were not spat out. They hung on the corner of the patient’s mouth, as if there were countless worms in her body that were crawling out …
“Professor yang, there’s a worm in your mouth too …” President Chen was also a little confused.”It looks like a roundworm. It’s yellow and white, and it looks like an earthworm.”
“Alright, I’ll start the preoperative preparations immediately!”
With that, he hung up the phone.
“Send him away, send him away!” “Go to the liver and prepare for emergency surgery!” President Chen shouted anxiously.
As he watched the group of people leave and disappear around the corner, Zhou Litao’s eyes were still filled with images of gastrointestinal decompression and the squirming worm that appeared in the innermost part.
If it was roundworms … Human roundworm disease was a common parasitic disease caused by roundworms parasitizing in the small intestine, and the incidence rate in children was relatively high.
The adult roundworms were cylindrical and looked like earthworms; The eggs were oval, and the surface of the eggshell was often covered with a layer of rough and uneven protein membrane, which was brownish-yellow because of the bile.
Roundworms were common in children, but rare in adults.
But how could an adult have so many bugs “popping” out? Zhou Litao was a little confused.
“Chief Zhou, what’s that?” A young nurse asked as she cleaned up the emergency room.
“It looks like a roundworm to me.”
“Don’t roundworms come out from feces? why are they still coming out from the mouth in reverse?” The nurse asked.
Zhou Litao shrugged his shoulders, he didn’t know what was going on either.
Generally speaking, roundworms shouldn’t be very heavy, and they should just take some medicine to kill the worm. Legend had it that people who grinded their teeth had roundworms, and they would be fine after eating a few pieces of intestinal worm.
This thing wasn’t like the pig head tapeworm. It was rare to see a fatal one, but it was disgusting. Who wouldn’t be afraid when they saw bugs in their feces?
“A few days ago, when I was browsing the online store, I saw someone selling roundworm egg capsules. They said it was for weight loss, extra money, and insect medicine.” “At that time, I was thinking about buying some food during my annual leave,” the young nurse said with a lingering fear.
“Why does he dare to eat anything? that stuff is so disgusting.” Zhou Litao reprimanded with a straight face.
“Director Zhou, if you don’t get a girlfriend, you won’t know …”
One sentence, and Zhou Litao’s scarred heart was viciously stabbed again. He didn’t hear clearly what the young nurse said next.
“Why wait until the holidays?” Zhou Li Tao asked absent-mindedly.
“It’s said that one week after eating the roundworm egg capsule, you will have a low fever and feel uncomfortable all over. Some people would even feel nauseous and vomit. Look at how badly she’s vomiting! It’s a little scary. I’ll think of something else. ” The young nurse cleaned up the emergency room swiftly, turned on the ultraviolet light, and began to disinfect the wound.
Zhou Litao thought for a while, picked up his phone, and called President Chen from the Department of Hepatobiliary and Pancreatic Surgery.
What the young nurse from the emergency department had just said was an important clue. Otherwise, there was no other explanation for the roundworms “emerging” from the innermost part of the room.
After hanging up the phone, Zhou Litao began to look through the patient’s upper abdomen CT scan on the computer.
If roundworms entered the biliary tract, medical imaging would still support it. It was just that adult biliary ascicosis was very rare. Zhou Litao studied it bit by bit to enrich his clinical experience.