The American journal of roentgenology, radium therapy and nuclear medicine (1906) (14571150979)

Identifier: americanjournalo10ameruoft (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: Internet Archive

Digitizing Sponsor: Internet Archive

Text Appearing Before Image:

ccessory pocketcommunicating with third portion of duodenum.Surgical findings: retroperitoneal sarcoma withdirect extension to and perforation of third portionof duodenum. 544 Diagnosis of Obscure Abdominal Lesions appendix, or other abdominal inlection,and most frequently follows the chronicallyinfected gall-bladder. On account of this,adhesions are often present and act asguide-posts in the process of elimination.The chief seat of in\olvement is the head.This gives a slight displacement upwardsof the pylorus and presses it slightlyto the left. The caput assumes a moreor less horizontal position. The descending in the duodenum. On palpation it can beshown that the tumor mass is free fromthe stomach and that the mass does notmove with respiration. If situated m the body of the gland,the pars media of the stomach is the siteof the filling defect, and this is noted onthe greater curvature. The filling defect issmall or large, depending on the size ofthe cyst. It is smooth in appearance.

Text Appearing After Image:

Fig. g. No. H5yS2. KdcntfjciKilDgical diagnosis: primarycarcinom.i of gall-blacidcr witli direct extension toduodenum and pylorus. Surgical (indings: carcinomao( gall-bladder extending to duodenum and pylorus—direct extension. duodenum describes a larger arch than isusually .seen. Cyst of the Pancreas. When cysts ofthe pancreas arc present they are recog-nized only when of sufficient size to givefilling defects. They produce a clear-cutoutline of pressure in the stomach andduodenum, dej^ending on the site of thecyst in the pancreas. In the head theydisplace the pylorus to the left, the caputupward and horizontally, the descendingduodenum outward and to the right.The outline is smooth. Rugae are presentill the stomach and vaKulac conniventcs FiC. lO. No. 103448. Koentgcnuloglcul diagnosis: tumorof head of pancreas. Surgical findings: cyst in headof pancreas. and the rugae of the stomach are seenthrough it. On palpation of the stomach,it may be lifted away from the tumormass and the t

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1906

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