Interstate medical journal . d. Band of adhesion at >fr . the eighteen months since the beginning of her illness, she couldeat anything and it caused her no inconvenience, but that at allother times everything she took, even milk, would produce a dis-tressing sensation amounting often to actual pain in the epigas-trium. The degree of the discomfort or pain did not bear any rela-tion to the quantity or the quality of the food she took. At times Granger: X-Ray Reveals Unsuspected Appendicitis 671 the unpleasant symptoms would begin immediately after eating,then at others not for two or three
Interstate medical journal . d. Band of adhesion at >fr . the eighteen months since the beginning of her illness, she couldeat anything and it caused her no inconvenience, but that at allother times everything she took, even milk, would produce a dis-tressing sensation amounting often to actual pain in the epigas-trium. The degree of the discomfort or pain did not bear any rela-tion to the quantity or the quality of the food she took. At times Granger: X-Ray Reveals Unsuspected Appendicitis 671 the unpleasant symptoms would begin immediately after eating,then at others not for two or three hours after. They sometimeslasted for a few minutes then again during the whole time of diges-tion. During her entire illness she suffered more or less from con-stipation. The fluoroscopic examination of her stomach after the ingestionof the opaque meal showed an abnormal increase in the numberand depth of the peristaltic waves, a decided tendency to spasmodiccontraction almost amounting to the hour-glass type in the pyloric. Fig. 2.—Appendix kinked and adherent. portion of the stomach, and a marked pyloro-spasm. There wereno painful pressure points, no incisura, no filling defects, in factno evidence of disease or adhesions of the stomach or the duodenalcap. The six hour plate (Fig. 2) shows no gastric residue, theopaque meal has passed beyond the hepatic flexure. The terminalileum, caecum, appendix and the ascending colon are filled with appendix is kinked. In the twenty-four-hour plate the appen-dix and caput caecum were still filled with the opaque meal andhad the same shape and position seen in the six-hour plate. Theterminal ileum, ascending and transverse colon were empty. We con- 672 INTERSTATE MEDICAL JOURNAL eluded from that evidence that the appendix was the seat of chronicinflammation and that it and the cecum were bound down by ad-hesions. The patient was operated on during the month of March,1914, and the Roentgen findings were confirmed. In answer tothos
Size: 1469px × 1701px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, bookidinter, booksubjectmedicine
