Röntgen ray diagnosis and therapy (1904) (14755803794)

Identifier: rntgenraydiagn00beck (find matches)

Title: Röntgen ray diagnosis and therapy

Year: 1904 (1900s)

Authors: Beck, Carl, 1856-1911

Subjects: Radiotherapy Diagnosis, Radioscopic

Publisher: New York, London, D. Appleton and Company

Contributing Library: Columbia University Libraries

Digitizing Sponsor: Open Knowledge Commons

Text Appearing Before Image:

hape,their size, and their diameter can be well recognised. The patient,a man of forty years, is still in the possession of his stones, whichcause only occasional and very slight disturbance, so that theauthor did not feel justified in persuading him to submit to anoperation. The patient is the brother of the woman whose largebiliary calculus was removed from the left side (see p. 112) ; froma sister of this patient the writer also removed two large biliarycalculi. There are ten members of this family in whom cholelithi-asis could be diagnosed. Fig. 76 shows a large and two small biliary calculi in a manof forty-five years. In this case the large gall-stone is overshad- ABDOMEN 121 owed by the rib. If the tubal vacuum had been slightly lower,the outlines would probably also have been more distinct. Fig. 77 shows a solitary calculus faintly, while smaller intra-hepatic calculi are represented distinctly. Cholecystotomy per-formed by the author a few days after exposure proved the pres-

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Fig. 76.—Three Biliary Calculi. ence of a large calculus (Fig. 78) in the gall-bladder. No evidencewas found of the others in the ducts. This must be explained by 122 THE RONTGEN EAYS their intrahepatic domicile, which could not be exposed. Infavour of this assumption was the extremely severe cholangioitisfrom which the patient suffered after the operation. The skia-

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1904

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