Interstate medical journal . Fig. 21.—Illustrates group 6. Sur- Fig. 22.—Illustrates group 6. Medicallygically treated. treated. Case XXII. (Fig. 22.)Clinical history: Not obtained. Roentgen diagnosis: A feeble peristalsis, but unobstructed. A contractedcap, which was irregular and had a worm-eaten appearance, together with theabnormal appearance of the pyloric valve, were indicative of a postpyloric 42 INTERSTATE MEDICAL JOURNAL ulcer or gall-bladder infection or adhesions, the weight of evidence being infavor of ulcer. Subsequent history: This patient received medical treatment and has since
Interstate medical journal . Fig. 21.—Illustrates group 6. Sur- Fig. 22.—Illustrates group 6. Medicallygically treated. treated. Case XXII. (Fig. 22.)Clinical history: Not obtained. Roentgen diagnosis: A feeble peristalsis, but unobstructed. A contractedcap, which was irregular and had a worm-eaten appearance, together with theabnormal appearance of the pyloric valve, were indicative of a postpyloric 42 INTERSTATE MEDICAL JOURNAL ulcer or gall-bladder infection or adhesions, the weight of evidence being infavor of ulcer. Subsequent history: This patient received medical treatment and has sincebeen reported as well. Case XXIII. (Fig. 23.)Clinical history: Not obtained. Roentgen diagnosis: Evidence of adhesions involving the cap. The deepcrease, with the appearance of a constriction, led to a diagnosis of ulcer ofthe cap. Surgical findings: Patient operated on for chronic appendicitis and aposterior gastroenterostomy was performed for postpyloric history: Not Fig. 23.—Illustrates group G. Sur- Fig. 24.—Illustrates group 6. Medicallygically treated. treated. Case XXIV. (Fig. 24.) Clinical history: Had suffered attacks for three summers, consisting ofpain in epigastrium, burning, belching, slight soreness, and loss of loss of between 20 and 30 pounds. Roentgen diagnosis: Evidence of adhesions and induration, involving thecap. No evidence of obstruction. Medical treatment advised. Subsequent history: A report three years later states that the patientwas completely relieved of all symptoms by medical treatment. We realize fully that medical treatment will not remove the de-formity of the cap, but the symptoms of these cases even at theirworst are rarely sufficiently severe to demand surgical procedure,because the symptoms are not those of stenosis or of a deep, thick,turgid ulcer. Therefore the relief from these obscure noncharac- INTERSTATE MEDICAL JOURNAL 43 teristic symptoms by surgical procedure is not nearly as sati
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Keywords: ., bookcentury1900, bookdecade1910, bookidinter, booksubjectmedicine
