Chapter 16 near misses

When I opened my e-mail last night, I received a unique request for help titled "Forensic Medicine, Urgent". First of all, the person seeking help is unique enough, he is a journalist; and the content of seeking help is even more unique, they have a manuscript involving a very strange thing - a mental patient returned home after going out for ten months, There was an extra scar on his abdomen, and his family suspected that his liver had been stolen. Currently, CT has two different outcomes. Like their family members, they have many doubts and hope to consult relevant forensic knowledge.

Really unique. I have received a lot of letters from journalists, generally either to interview me or to adopt my blog content, but this is the first time that a journalist has asked for help. And the content of asking for help is even more unique: steal a liver!If the suspicion of the family members of the parties involved is true, this is not a trivial matter. No one will steal a liver just for self-entertainment. The most direct association of this is that it is used for transplantation. Judging from the fact that the person concerned is still alive afterwards, this is not a task that can be accomplished by one person: first, there must be a skilled surgeon, then there must be anesthesia, nursing staff and a lot of related equipment, and then there must be a complete Supply and marketing channels - not everyone needs a liver, and the success of tissue matching is a rare thing.

Judging from the surgical scar on the client's abdomen and two CT scans, the suspicion of the family members is not completely without evidence. My interest came right away. I quickly learned the general story of the matter: a man with a mental disorder went missing. About ten months later, his family found him, but unexpectedly found that there was an additional surgical scar on his stomach, about ten centimeters long, on the upper right abdomen . With great doubts, his family gave him a B-ultrasound, and what the B-ultrasound doctor said was like a bolt from the clear sky: the left hemi-liver was not seen, and CT re-examination was recommended.

Anxious family members took him to do two CT scans at once. One time they said that the left hemi-liver was not seen, and the other time they said that the left hemi-liver was poorly developed. The family members were stunned: Is the left half of the liver there or not?I can't control the three seven twenty-one, so I will report the case first. The reporter discovered this news. If it is true that the left half of the liver is missing, this news is absolutely sensational and deserves a full page. It may be the headline on the front page. However, the editor decided to verify this out of a responsible attitude of journalists. information.

Coincidentally, he found me. What's more, I'm interested in any suspenseful cases. After learning about these situations and verifying the CT report: I gave the following reply to the editor: 1. There is no contradiction between the two CT reports, and there is no substantial difference between the left hemi-liver and left hemi-liver poorly visualized. 2. The absence of the left hemi-liver in B-ultrasound and CT is not enough to confirm that the liver must have been removed. There are many other conditions where the left hemi-liver is not seen, such as congenital dysplasia, and liver diseases such as gallstones. resulting in liver atrophy.

3. To confirm whether the liver has been removed, the best solution is to do laparoscopy: make a small hole of 0.5 cm in the navel to see the liver directly, and only need a band-aid after the operation . 4. I need to see a picture of the abdominal surgery incision. About three minutes later, I saw the photo, and after seeing the photo, I explained to the editor: 1. The surgical incision is only about five centimeters long, not as long as ten centimeters, because a comparison shows that the length of the incision is only three as wide as a finger. 2. The location of the incision is more than five centimeters away from the location of the liver under the costal margin (the junction of the stomach and the ribs). Regardless of the length or location of the incision, it is almost impossible for the surgeon to complete a liver lobectomy in this way. .

3. I would rather believe that the person involved was treated for intestinal diseases, haha. The editor gave me a thumbs up and went to work on his manuscript. The following is the title of this news: "Has anyone moved his left liver?" ". A small problem was solved smoothly, and I will not be disappointed because this "case" turned out to be not a case, because, for me, it is my greatest expectation that there is no case that requires me to appear. By the way, I don't know if anyone knows about this and can confirm my judgment?