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Image from page 160 of "Medical and surgical reports" (1904) | by Internet Archive Book Images
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Image from page 160 of "Medical and surgical reports" (1904)

Identifier: medicalsurgicalr02stluuoft

Title: Medical and surgical reports

Year: 1904 (1900s)

Authors: St. Luke's Hospital, Chicago


Publisher: Chicago

Contributing Library: Gerstein - University of Toronto

Digitizing Sponsor: University of Toronto


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Text Appearing Before Image:

the dilatation throws back-ward and causes to disappear tumors of the posterior stomach wall,of the lesser curvature, and of the pylorus, as well as tumors posteriorto the stomach, as of the pancreas, left kidney, or transverse meso-colon. We have had two cancers of the gastro-colic omentum whichwere well pushed forward by the dilatation; two tumors which werediagnosed as tuberculous omental tumors, but which disappearedwith the dilatation and were both found to be cancers of the posteriorgastric wall; three diagnosed to be in the enlarged left lobe of the liverbut found to disappear with the dilatation, and to be, one a cancer of DILATATION OF STOMACH AND COLON 107 the pancreas, and the other two cancers of the lesser curvature; andother tumors of similar import. The Location of the Site of Tenderness.—The same rules apply asin the location of a tumor. A patient complains of soreness in thestomach region. On palpation no tumor is felt, but there is a tender Lessee CiA*i/<Ltiufe


Text Appearing After Image:

Y(.d.%- &*l. Diagram after Gray and Quain illustrating the important organs immediatelyposterior to the stomach and colon. area; after dilatation the tenderness cannot be elicited except on verydeep palpation, and after the gas has disappeared from the stomach thetenderness returns. In such a case the tenderness must either be inthe posterior gastric wall, or behind the stomach. A few cases inwhich pain at the same spot resulted each time the stomach wasdilated, at intervals of several days, were thought to have chronic 108 ST. LUKES HOSPITAL REPORTS ulcer with adhesions, and in some there was a good ulcer history;but none of these cases have come to operation, to confirm or upset thediagnosis. Dilatation of the Colon.—To dilate the colon a soft rubberrectal tube is inserted about twelve inches and air forced through it bymeans of an atomizer bulb. The introduction of the tube is facilitatedif air is forced through it during its passage up the rectum. Dilatation of the colon, or


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Taken circa 1904