. The American journal of roentgenology, radium therapy and nuclear medicine . use of findings inthe case of the stomach. The liver and spleenwere found to be enlarged. Operative Findings.—Operation No-vember 21 St. Gastrotomy was performednear the growth, which measured 2 by 3 by4 cm. and hung by a pedicle. It was removedbecause it only involved mucosa. Frozen sec- FiG. 6. Case II. Erect Posture, Second Examina-tion, showing 110 evidence of the defect previouslynoted. mitted to the University Hospital October31, 1919. Discharged November 9, 1919. Nervousness and occasional attacks of in-


. The American journal of roentgenology, radium therapy and nuclear medicine . use of findings inthe case of the stomach. The liver and spleenwere found to be enlarged. Operative Findings.—Operation No-vember 21 St. Gastrotomy was performednear the growth, which measured 2 by 3 by4 cm. and hung by a pedicle. It was removedbecause it only involved mucosa. Frozen sec- FiG. 6. Case II. Erect Posture, Second Examina-tion, showing 110 evidence of the defect previouslynoted. mitted to the University Hospital October31, 1919. Discharged November 9, 1919. Nervousness and occasional attacks of in-digestion. The attacks of indigestiondated back fifteen years ago when she hadan acute attack, coming on two months af-ter delivery. During the attacks, which cameon at irregular intervals, she had severe painin the epigastrium, radiating upward equallyto the two shoulders and making her feelshort of breath. Vomiting relieved these at-tacks, so she took hot water to bring onemesis. The bowels were moderately consti- Pendtinculated Adeno-Carcinoma of the Stomach 605. Fig. 5. Case II. Serial Exposures Made in the Prone Posture, showing the defect to better ad-vantage but not showing extension. Stomach pated always. There was never any remainder of the history was negative. Gastric Analysis.—White, normalodor. Trace of occult blood. Free hydro-chloric acid, 6, 16, 28, 32, 20, 30, 20, 20, acidity 26, 27, 45, 50, 40, 50 60,40, 60. Roentgen Ray moderate degree of ptosis. Slightly pro-longed emptying time within six-hourperiod. A slight permanent defect, irregularin outline, at the pyloric extremity of thestomach found in every exposure in botherect and prone posture, suggesting a for-eign body or a papilloma. The plates were 6o6 Pendunculated Adeno-Carcinoma of the Stomach


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