. The American journal of roentgenology, radium therapy and nuclear medicine . tomach. The opac|ue meal ex-amination confirmed the fluoroscopic find-ings of a remarkably small stomach with agaping pylorus. So rapid was the emptyingof the stomach that a roentgenogram wasmade with extreme difficulty, taken whilethe patient was in the act of swallowing andprone on the table. (Figs. 6, 7, 8.) Thestomach as thus outlined measured onlyabout II by 3 cm. Eight days later a con-firmatory examination was made with thepatient in the prone position. A partial under surface of the liver. A jejunostomywas p
. The American journal of roentgenology, radium therapy and nuclear medicine . tomach. The opac|ue meal ex-amination confirmed the fluoroscopic find-ings of a remarkably small stomach with agaping pylorus. So rapid was the emptyingof the stomach that a roentgenogram wasmade with extreme difficulty, taken whilethe patient was in the act of swallowing andprone on the table. (Figs. 6, 7, 8.) Thestomach as thus outlined measured onlyabout II by 3 cm. Eight days later a con-firmatory examination was made with thepatient in the prone position. A partial under surface of the liver. A jejunostomywas performed and a tube inserted. Pathological examination. Specimen re-moved at operation consisted of a small nodefrom the greater curvature with considerableinflammatory tissue surrounding it. It wasverv firm and white on section. Microscopic examination of the sectionshowed a considerable amount of inflamma-torv tissue invading the fat. There was alsoa small lymph node which was almost en-tirely fibrous. This fibrous tissue and fatwere diffusely invaded l)y small epithelial. Fig. 7. Case 111. (Same case as Figures 6 and 8.) Fig. 8. Case III. (Same case as Figures 6 and 7.)Carcinoma. (Aged Twenty-three.) Six minutes Carcinoma. (Aged Twenty-three.) Eight minutesafter meal. Meal passing rapidly into jejunum. after meal. Stomach almost entirely empty. filling of the esophagus could be made out,suggesting some attempt at compensators-dilatation to make up for the small-sizedstomach. The patient was operated upon April 23,1919. The duodenum, pylorus and distal inchof the stomach were apparentl) to this was a lump which wassharply marked by a hard indurated line. Thestomach was contracted and the walls werethe seat of nodular induration which feltcarcinomatous to the operator. Surroundingthe stomach there were a few hard stomach was closelv adherent to the cells growing singly or in slender tubules ap-parently in the lymph vessels. Thev wereonly moderately hy
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