The Röntgenographic diagnosis of gall-stones and cholecystitis / by Lewis Gregory Cole.

  • Cole, Lewis Gregory, 1874-1954.
Date:
1914
Catalogue details

Licence: In copyright

Credit: The Röntgenographic diagnosis of gall-stones and cholecystitis / by Lewis Gregory Cole. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    l-'ig- 3- Fig. I. Contraction of cap and pars pylorica by ad- hesions from cholecystitis with calculi invisible ront- genographically. Proven by surgery. Fig. 3. Indentation in greater curvature, in which lay small, atrophic gall-bladder, containing calculus invisible rontgenographically. Proven by surgery. alteration of the lumen of the stomach, cap, or hepatic flexure of the colon. DIRECT EVIDENCE OF BILIARY CALCULI Regarding direct evidence of gall-stones, two things must be considered: first, the detection of the calculus, and second, its differentiation from a renal calculus or some other calcareous body in this region, especially Fig. 4. Fig. 2. Absence of cap. Sphincter widened on lesser curvature. Cholecystitis with calculi invisible ront- genographically. Proven by surgery. Fig. 4. Adhesions of cap and pars pylorica from chole- cystitis. No calculus visible rontgenographically. Surgery imminent. a calcified costal cartilage. The possibility of detection depends upon the percentage of mineral salts in the stone, or surrounding a cholesterin nucleus, upon the thickness and density of the surrounding tissue, and the penetration of the X-ray tube. A soft tube, a very short exposure, and the use of an intensi- fying screen will give a wealth of detail im- possible to obtain by ordinary methods. In-