. The American journal of roentgenology, radium therapy and nuclear medicine . , white,normal odor. Total aciditv 10; free hvdro- 6o4 Pendunculated Adeno-Carcinoma of the Stomach chloric acid, o; no occult blood. Wasser-mann, negative. Feces, trace occult blood. Roentgen Ray Findings. — Stouiach:Moderate dilatation; obstruction, probablyof duodenal origin; a permanent defect inthe dependent portion of the greater curva-ture, probably papilloma or carcinoma, oreven the possibility of a sarcoma. Peristalsiswas quite marked throughout the examina-tion. There were considerable opaque con-tents
. The American journal of roentgenology, radium therapy and nuclear medicine . , white,normal odor. Total aciditv 10; free hvdro- 6o4 Pendunculated Adeno-Carcinoma of the Stomach chloric acid, o; no occult blood. Wasser-mann, negative. Feces, trace occult blood. Roentgen Ray Findings. — Stouiach:Moderate dilatation; obstruction, probablyof duodenal origin; a permanent defect inthe dependent portion of the greater curva-ture, probably papilloma or carcinoma, oreven the possibility of a sarcoma. Peristalsiswas quite marked throughout the examina-tion. There were considerable opaque con-tents remaining in the stomach up to and tions showed the growth to be adeno-car-cinoma. The gastrotomy opening was closedand a posterior gastro-enterostomy defect in the duodenal cap was found tobe due to adhesions to the liver at a pointwhere there was a large nodular metastaticgrowth. There was no duodenal ulcer so faras could be ascertained, as the duodenumwas not disturbed. The patient died Decem-ber 12, 1919. (Figs. I, 2, 3.) Case II. Female, aged forty-five. Ad-. FiG. 4. Case II. Erect Posture after Second IMealAND Six Hours after First, showing the irregulardefect at the p^-loric extremity. beyond eighteen hours. The patient was notexamined further than this. Duodenum: Aconstant filling defect strongly suggestingduodenal ulcer. Colon: Intestinal examina-tion not carried out because of findings inthe case of the stomach. The liver and spleenwere found to be enlarged. Operative Findings.—Operation No-vember 21 St. Gastrotomy was performednear the growth, which measured 2 by 3 by4 cm. and hung by a pedicle. It was removedbecause it only involved mucosa. Frozen sec- FiG. 6. Case II. Erect Posture, Second Examina-tion, showing 110 evidence of the defect previouslynoted. mitted to the University Hospital October31, 1919. Discharged November 9, 1919. Nervousness and occasional attacks of in-digestion. The attacks of indigestiondated back fifteen years ago wh
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