. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. Fio. 10.—Tumor of the abdomen caused by a dilated stomach; case of Sarah a photograph taken during life. vomiting and after lavage, the depth to which the stomachtube could pass, and the irregular waves of protrusion leftno doubt that the distention was due to an enormously di-lated stomach. She died November 16, 1889. The photo-graphs (Figs. 9 and 10) show the profile and front viewstaken during life, and Fig. 11, from a photograph taken afterdeath, shows the positio


. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. Fio. 10.—Tumor of the abdomen caused by a dilated stomach; case of Sarah a photograph taken during life. vomiting and after lavage, the depth to which the stomachtube could pass, and the irregular waves of protrusion leftno doubt that the distention was due to an enormously di-lated stomach. She died November 16, 1889. The photo-graphs (Figs. 9 and 10) show the profile and front viewstaken during life, and Fig. 11, from a photograph taken afterdeath, shows the position of the organ and its enormousenlargement. There was cancerous stricture of the most prominent distention is usually in the left 24 THE DIAGNOSIS OP ABDOMINAL TUMORS. half of the umbilical region, but it may be chiefly belowthe navel. A definite stomach contour may bo seen veryplainly in many instances of dilatation from stenosis ofthe pylorus. At intervals, during the contraction of the


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