. Journal of radiology . s complains of somerolling and excessive motion of the in-testines two or three hours after eat-ing. There is no regular nausea aftermeals, hut he has frequent vomiting. He usually vomits three to four timeson two to four-hour intervals. Hevomits no food, but yellow and darkgreen fluid, occasionally of a brownishcolor. No dark coffee ground hematemesis. No soreness ofabdomen. The roentgenological studyof the gastro-intestinal tract May 20thand 21st, 1920, revealed an irregularityin the pyloro-duodenal region sug-gesting deformity due to adhesionscausing sten
. Journal of radiology . s complains of somerolling and excessive motion of the in-testines two or three hours after eat-ing. There is no regular nausea aftermeals, hut he has frequent vomiting. He usually vomits three to four timeson two to four-hour intervals. Hevomits no food, but yellow and darkgreen fluid, occasionally of a brownishcolor. No dark coffee ground hematemesis. No soreness ofabdomen. The roentgenological studyof the gastro-intestinal tract May 20thand 21st, 1920, revealed an irregularityin the pyloro-duodenal region sug-gesting deformity due to adhesionscausing stenosis and delay in the nor-mal emptying time of the small intestines at the end ofeighteen hours were greatly distended,had a reticulated appearance and con-tained gas and fluid. Roentgenogramsmade at hourly intervals after eigh-teen hours revealed the small intes-tines constantly distended. The diag-nosis of obstruction in the pyloro-duo-denal region and of the small intes-tines, probably in the region of the. Case I.—Fig. I.—Note marked dis-tention and reticulation of the smallintestine. Obstruction due to adeno-carcinoma of the jejunum. Also notethe irregularity in the pyloro-duo-denal region, due to a band of ad-hesions, causing stenosis. jejunum, was made. Operation by May 31st, 1920. His notesof the operative findings arc as fol-lows: No fluid. A band of connectivetissue with fat extends from the lesser Watch The Journal—It Leads! THE JOURNAL OF RADIOLOGY 46 to the greater curvature constrictingthe pylorus. When this was dividedthe patency of the pylorus was re-stored. The gall bladder was dis-tended, walls thin, no stone present.
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