Pomegranate top broken stomach! No one dares to do the surgery Zhejiang expert clever hand removal, this pomegranate is actually...

From March this year, Fuyang Lin Dabo got a "strange disease", dizziness, fatigue, pale, and even vomit blood, blood, turn around a number of hospitals, examination shows that Lin Dabo around the stomach there is a pomegranate-sized lump, hard "bite" the stomach.
but what the lump is, many hospitals can not be diagnosed.
See the body can not stop bleeding, to stop the bleeding, you have to take out this "pomegranate", but Lin Dabo abdominal cavity adhesion is serious, the operation is difficult, the risk is high, there is a doctor opened his stomach, and shook his head closed, Lin Dabo can only accept conservative treatment, "unable to survive" he fainted due to severe anemia.
was taken by ambulance to Zhejiang University Medical College affiliated with the first hospital, here, he finally ushered in hope, not only successfully removed the "pomegranate", stopped the bleeding, but also finally identified the cause! It turned out that Lin Dabo was suffering from an extremely rare blood disease, castleman's disease, a pomegranate-sized lump that was a cluster of lymph nodes.
, Lin will undergo further examination and treatment.
"I believe you, I will cooperate with the treatment! "Run several hospitals no one dares to give him "knife" Lin Dabo is Hangzhou Fuyang people, 55 years old, in addition to 2009 had an acute pancreatitis, he has been in good health, but also insist on donating blood twice a year.
"he can't get down, we all advised him not to do it, but he still went to work in a local machinery factory, usually at home is also his cooking.
, " said Aunt Wu, Lin Dabo's wife.
, from March this year, Lin Dabo often dizziness, chest tightness, blackening, he thought he was too tired to work.
On March 10th, he was on the shop floor when he suddenly felt the world turning, chest tightness, thought it was the workshop temperature is high, his own heat stroke, Lin Dabo hurriedly went outside the workshop to sit down to rest, colleagues brought him the summer deity "ten drops of water", did not expect, drink ten drops of water, he suddenly vomited two mouthfuls of blood.
The next day, he and his family hurried to a hospital in Fuyang, after a gastroscopy, the doctor told them: "There is a big tumor in the stomach, hurry to the big hospital to see."
" followed by the road to seek medical treatment, Lin Dabo recalled also feel "toss": a number of three hospitals in the province, can not be diagnosed, can only speculate that this lump may be mesothelioma; Had to cut down part of the lump to do pathological tests, Lin Dabo's stomach "closed", conservative treatment effect is not good, his digestive tract still continued to bleed, hemochrome once dropped to only 40g/L (adult male normal hemochrome value of 120 to 160g/L) ... 130 pounds of people, all of a sudden thin to 110 pounds.
June 8, Lin Dabo in the home downstairs, suddenly fainted, bad Aunt Wu called an ambulance, ambulance all the way to Lin Dabo to Zhejiang University Hospital.
In the examination of Lin Dabo, Zhejiang University Hospital hematology experts carefully reviewed other hospitals on Lin Dabo's abdominal lumps made pathological laboratory reports, to determine that Lin Dabo is likely to suffer from a very rare blood disease - castleman disease.
, first reported as a pathological phenomenon by American pathologist Castleman et al. in 1954, was officially named in 1956 and is a very rare lymphatic growth disease.
2018, China's health care commission and other five departments have jointly formulated the "first rare diseases list", castleman disease was included.
Lin Dabo was admitted to the hematology ward of Jiang Hospital District of Zhejiang University Hospital.
"castleman's disease is a very rare blood disease, clinically typical is lymph node swelling, according to the pathology report of the local hospital, we consider the lump is likely to be swollen lymphatic tissue, but do not rule out the possibility of other tumors.
" hematology department deputy director of the doctor received Lin Dabo, because Lin Dabo's digestive tract is still bleeding, the most important thing at the moment, is to fundamentally solve the problem of hemorrhage, while the lump removal for pathological testing, in order to finally diagnose the disease.
the operation was like someone had a bomb on the countdown on June 22nd, Lin Dabo was transferred to the gastroenterology ward of the Jiang Hospital District.
" Lin Dabo abdominal cavity adhesion is serious, surgery is difficult, we first consider the options outside of abdominal surgery.
" Gastroenterology Director Professor Yu Ji-man said, led by him, deputy director of gastroenterology, Dr. Liu Xiaosun, deputy director of gastroenterology, Dr. Shen Weiyun, director of the plateau, Dr. Yang Hanliang and other experts brains discussion, at the same time asked the director of hepatoscopic pancreatic surgery, Dr. Zhang Wenxuan Dr. Peng Zhiyi, Deputy Director of Radiology, Dr. Li Wei, Deputy Director of the Custody Department of Jiang Academy, Deputy Director of the Hematology Department, Dr. Li Wei, and other senior experts from related departments, together with the Multidisciplinary Federation (MDT), decided to first embolize Lin Dabo to stop the bleeding. Dr. Peng Zhiyi, deputy director of radiology department of
, carried out a "super-selective arterial embolism" on Lin Dabo, temporarily controlled the bleeding, however, Lin Dabo's abdomen this "big pomegranate" seems to be with the experts, the day after the operation, Lin Dabo again appeared bleeding symptoms.
to save Lin Dabo, you must have abdominal surgery! Considering that Lin Dabo's abdominal cavity adhesion is serious and may require simultaneous removal of the stomach, spleen, pancreas and part of the colon, the operation is jointly led by Dr. Liu Xiaosun, Deputy Director of Gastroenterology, and Dr. Zhang Wenxuan, Director of Hepatobaria Surgery.
" This is an unconventional operation, if clearly know the stomach tumor, intestinal tumor, then the scope of our removal is relatively clear, but this time the patient's abdominal lump boundary is blurred, only really on the operating table, to know exactly what range needs to be cut.
" Lin Dabo abdominal lump although already ready to fight a hard battle, but once opened Lin Dabo's abdominal cavity, two senior experts also took a breath.
Lin Dabo abdominal cavity almost everywhere there is adhesion, gastrointestinal wall has severe edema, lumps located in the back wall of the stomach, about 10 x 8 cm large, and deeply "embedded" in the stomach, while the boundary of the lump is very blurred, seriously violated the spleen, cross colon, but also with the pancreatic envelope, left renal envelope and diaphragm tightly bonded.
" gives you a metaphor, like a pot of dumplings stuck into a clump, but also cold, skin and skin almost all into one.
" is that the lump is very hard.
"If it's a softer lump, we can change its shape to see what's being pressed, but it's so hard that it doesn't change shape at all, making surgery more difficult."
", Liu Xiaosun and Zhang Wenxuan, director of the physician tacit cooperation, focused on careful separation of the adhesive part, and can not be separated areas to be removed.
, Lin Dabo's blood pressure suddenly dropped to 60/30mmHg, and the heart rate accelerated, healing shock and other symptoms.
anesthesia team immediately to Lin Dabo rehydration, blood transfusion and other positive anti-shock treatment, blood pressure gradually picked up, but if not removed as soon as possible, it will not be able to fundamentally solve the problem.
" is the equivalent of someone hanging a bomb explosion in your ear, you can hear the countdown.
" with a wealth of experience, superb technology, Liu Xiaosun director of physician and Zhang Wenxuan director of physician race against time, and finally successfully removed the lump, due to severe adhesion, Lin Dabo's stomach, spleen and part of the colon was removed, while rebuilding his digestive tract and intestines, taking into account the huge surgical trauma, postoperative recovery, the two experts did their best to save Lin Dabo pancreas.
To find out that the "culprit" was diagnosed as a rare blood disease before surgery, due to persistent bleeding, Lin Dabo plate plateiac index is very low, clotting function is very poor, surgery to remove the spleen, but also lead to a surge in plateiac index, resulting in thrombosis risk.
", like both ends of the balance, maintain balance very carefully.
, " said Dr. Liu Xiaosun.
the postoperative treatment of Lin Dabo, the pathological tests of the lumps are also under way.
According to the pathological test results, the removed lumps contain a large number of blood clotting, surrounding cystic wall fiber tissue growth, and a large number of lymphatic, plasma cell immersion, removal of organ adhesion fiber tissue also multiplies and a large number of lymphatic, pulp cell immersion, can be determined to be a number of tightly clumped swollen lymph nodes, Lin Dabo was eventually diagnosed with a rare blood disease - Castleman disease.
" Castleman disease is unknown, clinically very rare, clinical manifestations of lymph node swelling, it may be local lymph node swelling, may also be the whole body many lymph node swelling, it is easy to mix with lymphoma, other tumors, many hospitals do not even understand the disease, it is more likely to misdiagnose.
," said Dr. Yu, deputy director of the Hematology Department.
For patients with local lymph node swelling, only surgery to remove the swollen lymph nodes can basically recover well, but if it is a patient with multiple lymph node swelling throughout the body, chemotherapy-assisted treatment is required.
now, has been idle Lin Dabo finally "idle."
"Now the village people see him, all say he looks very good, people are also more spiritual.
, " said Aunt Wu.
, Lin will need further testing and evaluation to determine if he needs chemotherapy.
I believe you, will cooperate with the treatment! Lin said.
Xiaofei Man Source: Zhejiang University Copyright Notice: All text, images and audio and video materials that indicate "Source: Mets Medicine" or "Source: MedSci Originals" are owned by Mets Medical, and are not authorized to be reproduced by any media, website or individual, and must be reproduced with the words "Source: Mets Medicine".
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