. Modern surgery, general and operative. m. Fig. iioS.—SumKali shnwiii;^ perforatingulcer at the middle of the lesser curvature,TOth normal first portion of the of the bowel showing from a mealgiven twenty-four hours previously (Pfahler). PlG. 1109.—Xormal ulcer shown by contrac-tions in the outline of the firstportion. Compare with Fig. 1108f Pfahler). When this first portion of the duodenum or cap is smooth in outline, having adefinite smooth base resting on the pylorus, and the walls on all sides are smoothterminating in a cone, ulcer is considered to be ab


. Modern surgery, general and operative. m. Fig. iioS.—SumKali shnwiii;^ perforatingulcer at the middle of the lesser curvature,TOth normal first portion of the of the bowel showing from a mealgiven twenty-four hours previously (Pfahler). PlG. 1109.—Xormal ulcer shown by contrac-tions in the outline of the firstportion. Compare with Fig. 1108f Pfahler). When this first portion of the duodenum or cap is smooth in outline, having adefinite smooth base resting on the pylorus, and the walls on all sides are smoothterminating in a cone, ulcer is considered to be absent, because there is no evi-dence of either indentation or deformity such as ulcer produces, nor believe, therefore, that both the positive and negative diagnosis of duodenalulcer can be made in approximately 95 per cent, of the cases when the work isdone by a Rontgenologist skilled in this line of work. At times this ulcer isindicated by a nitch or projection outside the walls of the stomach which indi-cates perforati


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