File:Journal of radiology (1921) (14571462129).jpg

Identifier: journalofradiolo2192radi (find matches)
Title: Journal of radiology
Year: 1921 (1920s)
Authors: Radiological Society of North America American College of Radiology and Physiotherapy
Subjects:
Publisher: Omaha, Neb., : (Radiological Pub. Co.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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r 2. Mrs. M. E. G. of Lemon, S. I)., veryweak, age 72, was referred by Dr. W. Gr. Rowley, Sioux City,November 16, 1919, complaining of inability to keep fooddown and with the findings of a palpable freely movablemass in the upper abdomen. She had lost 35 pounds duringthe previous year. Radiograms made immediately after the meal, at 30 min-utes and at 3% hours showed a marked filling defect inthe pre-pyloric portion of the stomach (see Fig. 2). Celi-otomy was advised and performed two days later and aturkey-egg sized mass, cauliflower in appearance, found in-side of the stomach attached by a pedicle to the wall of thestomach on the lesser curvature. There were no peri gastric adhesions or enlarged gland-noted. The neoplasm was removed and a gastroenteros-tomy made. This mass had evidently acted in a ball-valvelike manner to occlude the pyloris. The patient died six-days later. The pathological diagnosis of the tumor by Dr. W. G.Rowley was adeno-carcinoma. Frances Bldg. CASK REPORTS 115
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Figure 2 IK) TIIK .JOTKNAL OF RADIOLOGY Roentgenology of Tuberculous Enterocolitis. 11. D. Car-men, M. I)., Rochester, The Journal of the American Med-ical Association, Mag 15, 1920. Although tuberculosis does not in every instance furnishevidence sufficiently definite to differentiate roentgenolog-ically such conditions as caeca) malignancy and other formsof ulceration, it does furnish definite, early pathology whichcan oftcni be interpreted as probable tuberculosis, and thisparticularly in the presence of definite tuberculous lesionselsewhere in the body. As an intestinal lesion, tuberculosisis apt to be encountered as an ulcerative hyperthrophic or anodular lesion, generally in the region of the caecum, theascending colon, or the terminal portion of the ileum. Itspathology in this zone produces early lesions subject to suc-cessful radiographic investigation. The roentgen findings are visualized as filling defects andirregularities or as the result of spasticity. The bowel mayfill w

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