File:Journal of radiology (1921) (14758197315).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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age is inthe detection of abdominal adhe-sions, postoperative or otherwise.In this connection it is well to re-member the regional anatomy onthe plate examined so as not tomistake normal structures for ab-normal adhesions. The falciformligament shows well in Figure 10,and might easily be mistaken foran adhesion. Adhesions to an oldabdominal scar are seen in thelower abdomen. This method willnot aid in determining whether theadhesions present are causing ob-struction. The sixth and last group, thatof subdiaphragmatic conditions,such as subdiaphragmatic abscess,is one in which the method is un-doubtedly a great aid. Althoughit has been performed in somecases without in jury to the patient,it seems that more extended expe-rience will be necessary beforeits use in such conditions can beunqualifiedly recommended. Fig-ure ti shows an extensive adhe-sion of the spleen to the dia-phragm. This method of grouping is un-doubtedly very artificial The dif-> Page Fifteen PNEUMOPERITONEUM—SANTE
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Fig-. 6.—Uterine fibroid as seen in the retroperitonealposition, clearly showing the intra-abdominal charac-ter of the tumor. Page Sixteen PNEUMOPERITONEUM—SANTE ferent groups may overlap. Forinstance, a mass of undeterminednature may turn out to be a dis-placed kidney, or an infected gall-bladder; or a tubercular spleenmav be adherant to the abdominalwall. Still it serves as a guide toa clearer understanding of its use-fulness. A brief consideration of theconditions under which pneumo-peritoneum was induced in some occurred, appearing first on theaxilla and side of the neck.Neither patient suffered any ill-effect. Since we have used theapparatus shown, and determinedby means of a stethescope whenthe needle was in the abdominalcavity we have had no furthertrouble. We have found that while airtake^ longer to absorb (5 to 7clays ) than oxygen (3 to 4 days).

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