. Journal of roentgenology . No. 3160. ILLUSTRATION IS AN ANTEROPOSTERIOR, SLIGHTLYOBLIQUE VIEW. PATIENT LYING FACE DOWNWARD It will be observed that the gas is present in pockets at different areas dueto the fixation of viscera as the result of peritoneal adhesions. These adhe-sions can be distinctly identified in this radiogram, along the ascendingcolon, between the liver and colon, between the liver and parietal wall nearthe distal margin, etc. The gall bladder which appears with almost liver density, extending fromthe distal surface of the liver, is also involved in peritoneal adhesions. T


. Journal of roentgenology . No. 3160. ILLUSTRATION IS AN ANTEROPOSTERIOR, SLIGHTLYOBLIQUE VIEW. PATIENT LYING FACE DOWNWARD It will be observed that the gas is present in pockets at different areas dueto the fixation of viscera as the result of peritoneal adhesions. These adhe-sions can be distinctly identified in this radiogram, along the ascendingcolon, between the liver and colon, between the liver and parietal wall nearthe distal margin, etc. The gall bladder which appears with almost liver density, extending fromthe distal surface of the liver, is also involved in peritoneal adhesions. This case gives a history of gall bladder drainage and later resection. Isat present suffering from severe digestive phenomenon. PNEUMOPERITONEUM — ORNDOFP 283. No. 3176. ILLUSTRATION IS AN ANTEROPOSTERIOR LYING FACE UPWARD, BUT HIPS ELEVATED,i. e. THE TRENDELENBERG POSITION Rays are directed at right angle to the long axis of patient. A pneumo-peritoneum has been produced, as well as a pneumocystoma or air distendedbladder. The bladder wall can be observed to be of uniform diameter and uniformdensity throughout the portion shown in this position. The illustration shows the catheterizing cystoscope inserted through whichthe oxygen was introduced. 284 THE JOURNAL OF ROENTGENOLOGY


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