. The American journal of roentgenology, radium therapy and nuclear medicine . should show their position withinthe lumen of the bowel. They must then bedifferentiated from gall-stones, fecalmasses and foreign bodies, if , in the cases presenting chronicgastrointestinal symptoms, but withoutpalpable mass or evident abnormal opaci-ties on abdominal plates, we must rely on acarefully executed barium study to demon-strate the enterolith and to differentiate it tory, cutaneous, ner\ous and urinary sys-tems negative. iVIenstrual history irregular,but otherwise unimportant. Gastrointes


. The American journal of roentgenology, radium therapy and nuclear medicine . should show their position withinthe lumen of the bowel. They must then bedifferentiated from gall-stones, fecalmasses and foreign bodies, if , in the cases presenting chronicgastrointestinal symptoms, but withoutpalpable mass or evident abnormal opaci-ties on abdominal plates, we must rely on acarefully executed barium study to demon-strate the enterolith and to differentiate it tory, cutaneous, ner\ous and urinary sys-tems negative. iVIenstrual history irregular,but otherwise unimportant. Gastrointestinal system. Had always hadtrouble, which began in infancy, withconstipation, \omiting and colic, althoughshe was breast-fed. During her early child-hood days, constipation was her constantcomplaint, in spite of persistent the age of seven she was having prac-tically constant trouble with constipation,distention, distress after small amounts offood, belching, regurgitation and vomiting,marked and embarrassing was underweight and undersized and. Fig. 3. Appearance alter catharsis and colon irrigations. from the various other causes for suchchronic symptoms. The difliculties herewill frequently be multiplied by previousoperative procedures, gastroenterostomies,etc., which tend to center the attention onone part of the gastrointestinal tract. The following case report is typical: Female, graduate nurse, aged twenty-seven. Came on January 14, 1921, com-plaining of pain in the epigastriumfelt through to the back, acid regurgi-tation, sudden explosive and profusevomiting without nausea, belching, loss ofappetite, diffuse abdominal distention,marked borborygmus, marked flatulence,constipation alternating with diarrhea, andloss of weight. Family History. Unimportant. Past History. General health never diseases of childhood. No recentacute diseases, other than a streptococcussore throat in 1912. Respiratory, circula-


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Keywords: ., bookauthoramerican, bookcentury1900, bookdecade1900, bookyear1906