Cancer of the stomach : a clinical study . eleft border of the sternum, or in the parasternal line, curvesto the left of the navel, and crosses the middle line in extremedilatation, usually at or below the level of the navel. Peristalsis is usually to be seen, but it may require verycareful and prolonged inspection. Among the 42 cases in whichthe stomach formed a visible tumour in the abdomen, there 72 CANCER OF THE STOMACH were only eight in which peristalsis was not seen. It is notimprobable, however, that on very careful and protracted observa-tion peristalsis can always be found in a dilat
Cancer of the stomach : a clinical study . eleft border of the sternum, or in the parasternal line, curvesto the left of the navel, and crosses the middle line in extremedilatation, usually at or below the level of the navel. Peristalsis is usually to be seen, but it may require verycareful and prolonged inspection. Among the 42 cases in whichthe stomach formed a visible tumour in the abdomen, there 72 CANCER OF THE STOMACH were only eight in which peristalsis was not seen. It is notimprobable, however, that on very careful and protracted observa-tion peristalsis can always be found in a dilated stomach. It isindeed singularly variable, and we have observed cases in whichvigorous waves were present one day, while on the next noamount of stimulation called forth any movement. Frequently,after thorough washing ont of the organ the movements maycease, and as a rule their activity decreases after lavage, but notinvariably. In No. 120, with a diminution in the size of theorgan after washing, the peristalsis became much more Fig. 12 (Case No. 120).—Showing an enlarged stomachwith a small nodular growth at the pylorus. The size of the stomach and the position of the growth areshown in fig. 12. It is to be borne in mind that visibleperistalsis may be seen in a perfectly normal, or even in acontracted stomach, or in the common atonic dilatation asso-ciated with enteroptosis. There may be remarkable abdominal protrusion in the dilatedstomach. One sees this in inflating with the bicarbonate of sodaand tartaric acid, particularly if the latter be given through atnbe, so that the patients abdominal wall is entirely gas may then suddenly inflate the stomach, causing aremarkable protrusion in the abdominal wall. In other cases STUDY OF THE TUMOUR 73 spontaneously extraordinary local protrusion may suddenly occur,as in the following case : — No. 127. Unusual Abdominal Protrusion; Tumour.—J. B. ( 18,374), aged 52, farmer, complains of pain and vomi
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