. The American journal of roentgenology, radium therapy and nuclear medicine . colon nearthe splenic flexure over to the parietal peri-toneum near the costal arch. Case 13346. Mrs. F. H., age twenty-nineyears. History.—One year ago the patient hadher appendix removed. Two years prior toher operation she had indigestion and pain Left Half of Abdomen Diagnosed by Pneumoperitoneum 69 in the epigastrium with occasional the operation, she has had a dull gnaw-ing pain in the right upper quadrant. Thispain is relieved by lying down. There is afeeling of fullness after meals. Physical E
. The American journal of roentgenology, radium therapy and nuclear medicine . colon nearthe splenic flexure over to the parietal peri-toneum near the costal arch. Case 13346. Mrs. F. H., age twenty-nineyears. History.—One year ago the patient hadher appendix removed. Two years prior toher operation she had indigestion and pain Left Half of Abdomen Diagnosed by Pneumoperitoneum 69 in the epigastrium with occasional the operation, she has had a dull gnaw-ing pain in the right upper quadrant. Thispain is relieved by lying down. There is afeeling of fullness after meals. Physical Examinaiion shows marked ten-derness in the right u|)per quadrant of theabdomen. Roentgen Examination.—Filling defect creased until the time of the examination. Atthe time of the examination the enlargementextended up under the right ribs. Physical Findings revealed a large uteruswhich nearly filled the entire abdomen. Themass was smooth except for several noduleson the upper anterior aspect. Pneinnoperitoneuin shows a fibroid tumorof the uterus plus pregnancy. One month. Fig. 5. Case No. 12846.—Spleen Showing TypicalFolds Frequently Noticed at Postmortem Ex-amination IN A Soft Flabby Spleen. on the lesser curve near the pylorus, prob-ably spasm, no tender point; empty in fivehours. The duodenum is normal. Pneumoperitoneum shows a band of ad-hesions to the colon near the splenic flexure,against which the spleen is pressed on deepinspiration. A band of adhesions from thescar in the right iliac fossa to the head of thececum is also demonstrated. Case 12973: Mrs. T. E. A., age forty-oneyears. History.—Three months previous to ex-amination the patient noticed that the abdo-men was growing larger. This gradually in- FiG. 6. Case No. 133440.—Arrows Point to BandsOF Adhesions Extending across from the GreaterCurvature of the Stomach to the Left ParietalPeritoneum. later: Fetus is not visualized, but fluid in theuterus is demonstrated. Case: Miss M. E. Age nineteen years. Hist
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