The medical age : a semi-monthly journal of medicine and surgery . atation must not be confounded with atony of the stomach. Atonydesignates a condition in which the muscular action of the organ is retardedand weakened, while dilatation refers to the enlargement of the dimensions ofthe stomach. In a vertical stomach. The stomach is in a vertical position. This is dueto the falling of the pylorus to the left of its normal position. The diagnosticpoint of value in these cases is found in the fact that the seat of pain whichthe patients complain of as being in the stomach is found by transillumin
The medical age : a semi-monthly journal of medicine and surgery . atation must not be confounded with atony of the stomach. Atonydesignates a condition in which the muscular action of the organ is retardedand weakened, while dilatation refers to the enlargement of the dimensions ofthe stomach. In a vertical stomach. The stomach is in a vertical position. This is dueto the falling of the pylorus to the left of its normal position. The diagnosticpoint of value in these cases is found in the fact that the seat of pain whichthe patients complain of as being in the stomach is found by transilluminationto be outside of it. ORIGINAL: AARON 325 In cancer of the pylorus. When the stomach is illuminated, we discover adark or black zone toward the right. This is due to the obstruction of pas-sage of light, and we may regard it as suggestive of cancer of the as dilatation can be made out by transillumination, and dilatationalways attends a cancer of the pylorus with a stenosis, the coincidence of thedark zone with dilatation is very Fig. 3. In cancer of the fundus. Here we recognize a dark zone on the left and atranslucent region around it. The stomach is usually small in these cases. Cancer of the anterior wall of the stomach can always be made out by theillumination of the organ. It is evidenced by a dark central zone with atranslucent area around it. The dark zone is produced by a thickening of theanterior wall. Since light is not transmitted at that spot, but rays penetrateall around it, a dark shaded area with a luminous zone is produced. When the cardia and fundus itself are involved, one-half of the stomach isdark, and the part not involved is transilluminated. I wish to demonstrate the ease with which transillumination may be accom-plished. I present here before you two patients, one with dilatation and theother with gastroptosis. The following are the results obtained from illuminati ng a pathologicastomach: 1. We can determine the precis
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