. The American journal of roentgenology, radium therapy and nuclear medicine . Fig. ii. Insufflation of bismuth subcarbonate outlininga definitely contracted rectosigmoid apparatus. Notethe outline of the rectum which is partially gas tilled. Fig. 12. Barium enema showing outline of the rectumand a portion of the pelvic colon. The narrow con-necting part is the rectosigmoid apparatus. Patienthad pelvic abscess many years ago: resulting exudatefixed the rectum and colon in this Fig. 15. Normal rectosigmoid apparatus in stage Ipartial contracture. Verified by sigmoidoscopy. FlG. [4. &
. The American journal of roentgenology, radium therapy and nuclear medicine . Fig. ii. Insufflation of bismuth subcarbonate outlininga definitely contracted rectosigmoid apparatus. Notethe outline of the rectum which is partially gas tilled. Fig. 12. Barium enema showing outline of the rectumand a portion of the pelvic colon. The narrow con-necting part is the rectosigmoid apparatus. Patienthad pelvic abscess many years ago: resulting exudatefixed the rectum and colon in this Fig. 15. Normal rectosigmoid apparatus in stage Ipartial contracture. Verified by sigmoidoscopy. FlG. [4. < talon after barium meal fortunately depictinga contracted rectosigmoid apparatus, verified bjsigmoidoscopy . The Rectosigmoid Apparatus 419 passage of water with no diffusion of thesulphates. Sodium chloride solutions, ontheother hand, diffuse freely from gut to bloodand vice versa. In cases of extreme atony,I used sodium sulphate and found it pro-duced painful contractures without muchresult in producing defecation. Equal partsof a 2-5 per cent solution of magnesiumsulphate and sodium sulphate have, onthe other hand, given us very remarkableresults in producing defecation in manycases of atony of the rectosigmoid appara-tus, pelvic and iliac colon ( Figs. 6, 7 and 8). During the past year we have been usingthis method as a routine treatment inatonic cases of long standing, and we findthat, in many cases, restoration of thecontractile power of the rectosigmoidapparatus and pe
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