. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. sisin Case I. The crosses are placed on the three prominent waves. The letter / in-dicates the depression on the lesser curve. a week or ten days before his death this patient had tetany, whichis not a very uncommon event in dilatation of the stomach. Deathoccurred September 26th. The autopsy showed at the pyloric extremity of the stomach acrater-like tumor mass eight by seven centimetres, the marginsthick, elevated, and indurated. Externally there was great thick-ening abou
. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. sisin Case I. The crosses are placed on the three prominent waves. The letter / in-dicates the depression on the lesser curve. a week or ten days before his death this patient had tetany, whichis not a very uncommon event in dilatation of the stomach. Deathoccurred September 26th. The autopsy showed at the pyloric extremity of the stomach acrater-like tumor mass eight by seven centimetres, the marginsthick, elevated, and indurated. Externally there was great thick-ening about the pylorus, with numerous nodules on the perito-naeum. At the pylorus the tumor was massed about the orifice, TUMORS OF THE STOMACH. 5 througli which, however, the little finger could pass. The coats ofthe stomach were enormously thickened. Fig. 2, from a photo-graph taken on the post-mortem table, shows well the dilatation ofthe stomach. Case II. Dilated Stomach, forming a Prominent Tumor; Hi-defined Flattened Mass in Right Umbilical Region.—John L.,aged fifty-eight years, seen with Dr. Bryson Wood, September. FiQ. 3.—Carcinoma of pylorus, showing the dilatation of the stomaci^ .vautopsy. From a photograph by Dr. Hewetson. jeared at 13th, complaining of indigestion and loss of weight. The patient isa tall, large-framed man, who has lived a life of unusual energyand activity, and prior to 1875 had been a hard drinker. His mother died of some stomach trouble, the precise nature ofwhich he does not know. With this exception, his family history 6 THE DIAGNOSIS OF ABDOMINAL TUMORS. is good. He has always had to be a little careful about eating, butuntil within the past six months has had good health. The pres-ent illness began with dyspeptic symptoms, eructations of gas,feelings of distress a few hours after eating, and occasional vomit-ing. The chief discomfort was at night, five or six hours after thelast meal. Lately these features have increased very much; hehas not been
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