1980年初秋的一天，医院办公室的徐秘书患腹痛病住在我分管的床上。她是我的老师，老教务长，时任医专学校的革委会副主任，核心组副组长的高锦荣同志的妻子。诊断为阑尾炎，由普外的第二把刀，张逢吉主任主刀，我作一助手术，术中见阑尾有充血，其周有少许淡红色渗出液，术后恢复期又发生越来越加重的呕吐，全院会诊未明确诊断，又请河南省人民医院有名的消化内科权威黄河主任，和河医大一附院的消化科医生会诊仍未凑效，呕吐日重。不得已，最后又请河医大一附院的普外一把刀徐尚恩教授会诊，（徐秘书早年在河医工作的同事），由徐教授做主刀，张逢吉教授做一助，我为二助手术，术中发现胰腺肿大，腹腔渗液，十二指肠降部不通，术中徐张考虑胰腺癌晚期，已无切除可能，随做胃空肠吻合，腹腔放引流姑息治疗。术后病理诊断我院与北京，上海的结论不一致，加之高主任不同意化疗，未作化疗。术后病人情况逐渐恢复，以后再做消化道造影检查，十二指肠恢复通畅。至今年过八十的她仍然健康的生活着。在我的儿外生涯中我多次见到先天性环状胰腺病儿。使我想到了徐秘书应该就是一个轻度的先天性环状胰腺病人，因为轻，十二指肠尚通，那次是因为胰腺炎的肿胀压迫引起了梗阻！ 因成人普外科医生，和成人消化内科医生对先天环状胰腺，缺乏认识，而造成此例一误再误的结果。

Misdiagnosis occurred in our hospital make things worse by repeated delays.

On a 2014-05-22 01:04:57 / personal classification: Misdiagnosis

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1980 autumn day, hospital office Xu secretary had abdominal pain disease in mein the bed, is my teacher, the old medical school dean, the then deputy director of the committee, the core group deputy leader comrade Gao Jinrong's wife, the diagnosis of appendicitis, a general second knife, Dr. Zhang Fengji, I an aidoperation, intraoperative see appendix a congestion, the week with a slight redexudate, recovery occurred more and more increased postoperative vomiting, not clear diagnosis of the consultation, and asked the Henan famous digestionDepartment of internal medicine authority of the Yellow River, Department of Gastroenterology doctor visits and river is not a hospital work, vomiting, weightfinally, no, please medicine of the First Affiliated Hospital of general surgery knifeprofessor Xu Shangen consultation, (Xu secretary in the early years of rivermedical colleagues), by Professor Xu main Zhang fongei do, do a help, I two aidoperation, pancreatic enlargement was found in operation, peritoneal fluid, the descending part of duodenum. Xu Zhang consider, in patients with advanced pancreatic cancer surgery, has no resection may, as do gastrojejunostomy,peritoneal drainage palliative treatment. Postoperative pathological diagnosis in our hospital in Shanghai and Beijing, the conclusion is inconsistent, coupled with high director do not agree with chemotherapy, without chemotherapy. The patient's condition gradually recovered after the operation, and then doinggastrointestinal contrast examination, duodenal patency. In the year to eighty she still live a healthy life. The children in my career I have seen in children withcongenital annular pancreas. Makes me think of Xu secretary should be a mildcongenital annular pancreas patients, because the light is on, duodenum, that was because of swelling pressure pancreatitis caused obstruction! General surgeon for adult, and adult digestive physicians lack of understanding ofcongenital annular pancreas, make things worse by repeated delays caused bythis case, the result of.