File:The American journal of roentgenology, radium therapy and nuclear medicine (1906) (14756761412).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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oftime. In many instances, in fact, so little Early Roentgen Diagnosis of Ulcerative Tuberculous Colitis 629 barium was seen in the cecum or ascendingcolon at different examinations that itwas not possible to visualize a well-filledcecum or ascending colon. The characterof the shadows in these portions of thebowel was so irregular at all times that weinferred that these portions of the colonwere, more or less continually, in a state ofspasm or collapse, and as soon as materialwas delivered to these portions, it waslargely or completely eliminated. Conse- seen in the terminal ileum. A subsequentexamination, one hour later, might revealthe head of the column distal to the middleof the transverse colon with still nothingin the cecum or ascending colon, and attwenty-four hours the bowel would beeither entirely empty or the entire mealfoimd in the sigmoid and rectum. Anillustrative case can be seen in Fig. i.Six and seven hour examination, stomachempty, head of the column at the ileocecal
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Fig. 3. Case 7162. Six Hours, Prone. Note spastic ragged appearance to cecum andceco-colon. Hypermotility, head of column in rectum.Referred for pulmonarj^ tuberculosis. Hyperacidity,occasional vomiting, frequent regurgitation of food,marked constipation. Cecum palpable, possiblythickened. Site of .v-ray lesion, cecum and ceco-colon, indicated by lines. At operation cecum andceco-colon tuberculous. Operation, e.\cision of dis-eased area. Condition one year after operation, appar-ently complete recover),. quently it was impossible to catch theseportions of the colon well filled. In othercases different manifestations existed. Atsix or seven hours, instead of seeing thececum filled, no barium had passed theileocecal sphincter, even though the stom-ach was entirely empty. All the meal was Fig. 4. C.\sE 7213. Six Hours, Prone. Spastic, ragged appearance of ascending and firstportion of transverse bowel. HypermotiHtj; head ofthe column in sigmoid. Referred for pulmonary tuber-culosis. Occa

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