. The diagnosis and treatment of diseases of women. Fig. 202. Indicating the Area of Dullness in the Fig. 203. Indicating the Area of Dullness in the case case of Kidney Tumor, before inflation of the colon. of Kidney Tumor, after inflation of the colon. DULLNESS FROM A RETROPERITONEAL MASS 167 intestinal resonance. Fig. 201 shows such an abdominal growth. The size of thepalpable tumor is indicated by the dotted outline and the area of dullness is sur-rounded by the solid line. Inflation of the stomach in this case caused the area ofdullness to disappear almost entirely, showing that the growt
. The diagnosis and treatment of diseases of women. Fig. 202. Indicating the Area of Dullness in the Fig. 203. Indicating the Area of Dullness in the case case of Kidney Tumor, before inflation of the colon. of Kidney Tumor, after inflation of the colon. DULLNESS FROM A RETROPERITONEAL MASS 167 intestinal resonance. Fig. 201 shows such an abdominal growth. The size of thepalpable tumor is indicated by the dotted outline and the area of dullness is sur-rounded by the solid line. Inflation of the stomach in this case caused the area ofdullness to disappear almost entirely, showing that the growth sprung from somestructure back of the stomach cavity. A retro-intestinal tumor may spring from. Fig. 204. The Kidney Tumor itself after removal, in the case presentingthe signs shown in Figs. 202 and 203. the pancreas or from the mesenteric glands or from the retro-peritoneal glandsor adjacent structures or from the kidneys or suprarenal glands, A kidneytumor not infrequently forms a large mass extending from the lumbar region to-wards the pelvis and the median line. The characteristic percussion sign of akidney growth, or other retro-peritoneal growth in that region, is that the colon 168 GYNECOLOGIC DIAGNOSIS resonance can be made out in front of it. When the growth is large, the colonmay be fiattentd out by compression between the tumor and the abdominal wall,and in that case no colon resonance would be obtained in the ordinary examina-tion. But the colon resonance can be easily brought out by inflation of the colonwith air, introduced through a rectal tube by means of the ordinary double-bulb oran atomizer bulb. This point is well illustrated by the following case. Mrs.
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