. Journal of radiology . iscovery of a tumor by the patient while bathing. There is smallloss of weight, but practically no distress has been noted. The tumor mass appears in the epigastrium and left hypoehondrium. Physical examinationfailed to differentiate its origin. The peritoneoscope showed the tumor mass to be an enlargement in the left lobe of the surface was of regular contour. Its color darker than the right lobe. The x-ray observations show no evidence of fixation with any of the viscera. The smalldense line appearing in the illustration between the anterior abdominal wall
. Journal of radiology . iscovery of a tumor by the patient while bathing. There is smallloss of weight, but practically no distress has been noted. The tumor mass appears in the epigastrium and left hypoehondrium. Physical examinationfailed to differentiate its origin. The peritoneoscope showed the tumor mass to be an enlargement in the left lobe of the surface was of regular contour. Its color darker than the right lobe. The x-ray observations show no evidence of fixation with any of the viscera. The smalldense line appearing in the illustration between the anterior abdominal wall and the distalmargin of the tumor is the falciform ligament. The upper margin of the tumor mass appearsjust below the line of the diaphragm. Diagnosis: While the tumor could be definitely located as an enlarged left lobe of the liver,there were no findings which would determine the cause of its enlargement. There were nofindings clinical or otherwise to indicate the cause of its enlargement. PEITONEOSCOPE — ORNDOFP 321. Case 41. No. 4169 Illustration lateral view—patient lying- left side upward—hips elevated. History indicates menstrual period has been absent for the past three months. There is alsoa history of dysmenorrhea and menorrhagia for the past two years. The patient is at presentsuffering from more or less constant nausea and vomiting. Loss of weight and examination failed to show any abnormal complication of pregnancy in the pelvis. .X-ray observations after pneumoperitoneum had been produced shows mass somewhat largerthan the menstrual period would indicate the uterus should be. The round ligament identifiesvery nicely the true uterine density. The peritoneoscope shows the presence of a mass approximately the size of an orange behindthe uterus. The mass was pale gray in color with a peritoneum showing the usual shiny ap-pearance. The uterus was dark red in color. There was very little evidence of peritonealadhesions. Compare this illustration
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