File:The American journal of roentgenology, radium therapy and nuclear medicine (1906) (14734081316).jpg

Identifier: americanjournroen06ameruoft (find matches)
Title: The American journal of roentgenology, radium therapy and nuclear medicine
Year: 1906 (1900s)
Authors: American Radium Society American Roentgen Ray Society
Subjects: Radiotherapy X-rays
Publisher: Springfield, Ill. C.C. Thomas
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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de in the prone position. The tone of thestomach was poor and peristalsis was notmade out. The upper limit of the stomach wasabout the level of the third rib in front. Fig. A is the skiagram taken before theoperation. Fig. B another skiagram alsotaken before operation. Fig. C Skiagramtaken some weeks after the operation. In the diagram the hatched outline showsthe normal position of the stomach contrastedwith the position of the patients stomachbefore operation. Upon the above findings the patient wasoperated on. The abdomen was opened, andthe transverse colon iinmediateh- presenteditself. No stomach was visible. It was thenseen, by tracing up the bowel from the duo-dentun, that the entire stomach and greatomentiun, as indicated by .v-ray, had dis-appeared and were on the other side of thediaphragm. With considerable difficulty thestomach was drawm back into the abdomen.The omentum had contracted adhesions toeverything it came into contact with and a 653 654 Translations and Abstracts
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portion had to be left in the chest. The openingin the diaphragm was closed with strong in-terrupted silk sutures. The stomach appearedthickened as though the wall had hypertro-jjhied in the vain effort to pass the food on tothe duodenum. His recovery was naturallyslow, but was not complicated in any wa3\The wound healed primarily. The most interesting point about the caseis how the patient ever managed to sunivethe most extraordinary, trials he must havegone through before he was recognized as aserious case.

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