. The American journal of roentgenology, radium therapy and nuclear medicine . ith a probable carcinomatous degenera-tion. On account of the depth of the ulcercrater, as shown by the extensive niche,immediate operation was advised. Threedays later the patient was seized with se-vere abdominal pain with all the symp-toms of intense shock and died four hourslater. Autopsy revealed a perforation inthe ulcer area and extensive metastasis ofcarcinomatous nature along the lowerborder of the liver. The unusual features of this case arethe short and mild history, the situation-of the ulcer on the grea
. The American journal of roentgenology, radium therapy and nuclear medicine . ith a probable carcinomatous degenera-tion. On account of the depth of the ulcercrater, as shown by the extensive niche,immediate operation was advised. Threedays later the patient was seized with se-vere abdominal pain with all the symp-toms of intense shock and died four hourslater. Autopsy revealed a perforation inthe ulcer area and extensive metastasis ofcarcinomatous nature along the lowerborder of the liver. The unusual features of this case arethe short and mild history, the situation-of the ulcer on the greater curvature andthe brief duration of the symptoms follow-ing perforation (4 hours) and precedingdeath. CASE n. SPASMODIC HOURGLASS STOMACHUNAFFECTED BY BELLADOXXA Patient.—J. C. H. Examined April 30,1917. History.—Trouble began three yearsago with severe pain immediately aftereating. It was located in the epigastriumand relieved by nothing. Heavy coarsefood increased the pain. There was tender-ness on pressure over the nausea and vomiting—vomit con-. FiG. I. Carcinomatous Gastric Ulcer on GreaterCurvature at Pylorus. sisted of fluid and some food. Constipationsevere. Loss of twenty-five pounds inweight. Appetite good. No stomach-con-tents anal3^sis made. Fluoroscopy revealed a purse stringconstriction near the pylorus. It appearednot unlike a deep peristaltic wave but itwas constant (Fig. 2). The real peristalticwaves ran through it. Palpation made noimpression on it and pain was elicited ondeep pressure over this area. A series ofplates were taken and another fluoroscopicobservation was made later, but the con-striction still persisted. There was no sixhour residue or other roentgen evidenceof organic disease. Suspecting that it was 189 190 Some Unusual Stomach Cases
Size: 1575px × 1586px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookidamericanjour, bookyear1906
