. Radiography and radio-therapeutics . e / !, 7, Fig. 306.—Illustrating stages in the emptying of a stomach with an abnormality at theduodenum (duodenal ulcer).«, b, c, and d taken at short intervals ; e, f, and r/ at longer intervals ; h, seven hours after. have been described by Sir Arbuthnot Lane, and demonstrated by DrJordan by means of the bis-muth meal. It is worthy ofnote that an ileal kink canbe demonstrated in one posi-tion while in another it is notshown. These kinks shouldalways be shown with thepatient in the erect positionwhere possible. In a truekink the intestine should bedisten
. Radiography and radio-therapeutics . e / !, 7, Fig. 306.—Illustrating stages in the emptying of a stomach with an abnormality at theduodenum (duodenal ulcer).«, b, c, and d taken at short intervals ; e, f, and r/ at longer intervals ; h, seven hours after. have been described by Sir Arbuthnot Lane, and demonstrated by DrJordan by means of the bis-muth meal. It is worthy ofnote that an ileal kink canbe demonstrated in one posi-tion while in another it is notshown. These kinks shouldalways be shown with thepatient in the erect positionwhere possible. In a truekink the intestine should bedistended on the proximalside of the kink, and thereshould, be definite evidence ofnarrowing at the point of ob-struction. Figs. 304 and 307show a condition of ileal stasiswhich was definitely diagnosedby the radiographic examina-tion. The case was sent asa doubtful condition of ap-pendix, with a suggestionthat the condition was due to the presence of gall-stones ; the physician in. Fici. 307.—Same case as Fig. 304 at a later stage, ten hoursafter ingestion. The Cc-ecum contains more of the contraction is still seen at the entrance to caicum,and there is a marked degree of dilatation and stains insmall intestine. Diagnosis : adhesions in neighbouihood of ileo-c;vcal valve. 362 KADIOGRAPHY attendance suspected adhesions in the region of the appendix. The X-rayexamination revealed a condition of ileal stasis, which showed definitely inexaminations lasting over several hours. A positive diagnosis of obstructiondue to adhesions was given. The surgeon who operated reported asfollows : The ileum was kinked by a fibrous band 4 to 5 inches from the ileo-csecal valve in the position depicted by the skiagram. The gall-bladder wasquite free. The Examination of the Vermiform Appendix The appendix is frequently the seat of chronic inflammatory changes,which may give rise to reflex symptoms at other parts of the alimentary it is not at all uncommon to fin
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