File:The American journal of roentgenology, radium therapy and nuclear medicine (1906) (14753910281).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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ulous Colitis 631 for varying lengths of time considerablefecal matter, which usually fills them andreveals their smooth contour. In cases withtuberculous colitis, proved at operation,smooth haustration was absent and thebowel had a distinctly ragged outline. Adescription of the filling defect is difficult,and the reader is referred to Figs. 8, 3,and 5 as good illustrations of this mani-festation. At different examinations be-tween the fifth and ninth hour this fillingdefect would var>, but was always present. ticular attention was paid to the cecalregion and the variation in the motilityof the bowel, and while the latter was in-creased perceptibly (in some instancesthe bowel was empty in twenty-fourhours), the spastic or ragged outline of theascending colon did not occur. This portionof the bowel may have been incompletelyfilled at different examinations, but theoutline of the haustra was usually fairlysmooth. The most notable feature in thesecases was the tendency of the proximal
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Fig. 7. Case 9307. Six Hours, Prone. Spastic, ragged appearance to ascending and prob-ably a portion of the transverse colon. Hypermotility,head of column in the rectum. Referred for pulmonarytuberculosis. Definite abdominal symptoms withdiarrhea and pain. Site of .v-ray lesion, ascendingcolon and probably portion of transverse (indicated bylines). At twenty-four hours, bowel entirely empty. The question arose immediately, couldother conditions prodtice this combination,i.e., hypermotility and filling defect, andtheir peculiar accompanying features. Afew cases were observed that had takenlaxatives (usually castor oil) the nightbefore the baritmi meal was given. Par- FiG. 8. C.\sE 5135. Si.k: Hours, Prone. Note filling defect (spasm) in cecal region. Patientreferred for pulmonary tuberculosis. Abdominal symp-toms, constipation. Site of .r-ray lesion, cecum andceco-colon. Twenty-four hour examination revealedbowel empty as far as rectum. portions of the colon, particularly theascending

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