. The American journal of roentgenology, radium therapy and nuclear medicine . pril 28, 1921, com-plaining of having had chronic dyspepsiasince childhood. During the last eighteenmonths she had suffered from two acute at-tacks of indigestion, lasting about two days,which were considered to be exacerbationsof her usual mild attacks with added diffuseepigastric pain and soreness. The milderspells were characterized by nausea and marked frontal headache followed by souremesis and relief. The roentgen examination revealed a neg-ative stomach. The duodenum was shadowedas a ring with a translucent c
. The American journal of roentgenology, radium therapy and nuclear medicine . pril 28, 1921, com-plaining of having had chronic dyspepsiasince childhood. During the last eighteenmonths she had suffered from two acute at-tacks of indigestion, lasting about two days,which were considered to be exacerbationsof her usual mild attacks with added diffuseepigastric pain and soreness. The milderspells were characterized by nausea and marked frontal headache followed by souremesis and relief. The roentgen examination revealed a neg-ative stomach. The duodenum was shadowedas a ring with a translucent center, sug-gesting the presence of a polypoid growth(Fig. I). The same appearance was seen ata second examination. Although the relation between the unusualduodenal deformity and the symptoms waspurely speculative, exploration was gall-bladder was negative, the appendix,grade i, was removed, the stomach wasrather thick walled and dilated. The pyloruswas wide open; just below the pylorus in thefirst part of the duodenum was a tumor 7 482 Heniano^ioma of the Duodenum. Fig. I (356641). Ring or cyst-like detormity of theduodenal bull), due to polypoid growth. cm. by 5 cm. completely filling the duodenumand with a sessile attachment to the duo-denal side of the pyloric ring. The tumorwas easily enucleated through a transverseincision on the anterior surface of the duo-denum (Fig. 2). Pathologic report: Tumor of the duo-denum, hemangioma 5 cm. by 4 cm. (). In a casual examination of the literature Ihave found but one somewhat similar casereported, that of Winternitz and Boggs. Thiscase was that of a male mulatto, aged sixtv-five, who also had multiple subcutaneoushemangio-endotheliomas. At necropsy mul-tiple nodules were found throughout the ali-mentary canal. The entire intestinal wall wasbeaded with them; they varied from 2 6 cm., in diameter and were found in theesophagus, duodenum, throughout the small
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