Cancer of the stomach : a clinical study . o the lesser curvature. Every few minutes wavesof peristalsis cross the abdomen, during which the outline of theorgan is unusually distinct, and at the lesser curvature there is anindentation which gives an hour-glass shape to the organ. Atthe autopsy there was a cancerous growth at the pylorus, but theorgan itself did not show any special peculiarity in form. One of the most remarkable cases is illustrated by theaccompanying figures (14, 15, and 16), which show a greatly 78 CANCER OF THE STOMACH distended stomach in a woman who had a very relaxed abd
Cancer of the stomach : a clinical study . o the lesser curvature. Every few minutes wavesof peristalsis cross the abdomen, during which the outline of theorgan is unusually distinct, and at the lesser curvature there is anindentation which gives an hour-glass shape to the organ. Atthe autopsy there was a cancerous growth at the pylorus, but theorgan itself did not show any special peculiarity in form. One of the most remarkable cases is illustrated by theaccompanying figures (14, 15, and 16), which show a greatly 78 CANCER OF THE STOMACH distended stomach in a woman who had a very relaxed abdomenwith widely separated recti. Fig. 14 shows the dilated stomachcovered by the skin only, and really forming a ventral transverse colon and its sacculations are plainly to be the waves of peristalsis passed the tumour bulged and gothard ; an hour-glass contraction was visible. Then, as shown infig. 15, the outlines became more definite and the right sectionof the stomach smaller. In fig. 16 the stomach is shown as a. Fig. 15.—To illustrate Case No. 76. jjrorninent rounded mass. A brief abstract of the case is asfollows :— No. 76. Dilatation; Hour-glass contraction. Tumour; VentralHernia.—S. M. (hosp. nos. 10,653 and 14,022), female, aged 39, was firstadmitted on Aug. 14th, 1894, complaining of abdominal pain. She hadhad numerous pregnancies. Her present illness had lasted for threemonths during which time she complained of pain in the umbilical region, STUDY OF THE TUMOUB 79 with belching of gas and nausea. She had never vomited. There hadbeen rapid loss of weight and strength. Examination showed a sallow, pooihy nourished woman. Theabdomen was prominent, with remarkably relaxed walls, and a largeeasily reduced ventral hernia the size of a childs head between therecti, which were wide apart. In the left epigastrium a nodular masswas felt, which descended with inspiration. On inflation the outlines ofthe stomach were readily made out; the lower borde
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