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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    Fig. 5 Fig. 7. Fig. 5. Adhesions of cap, pyloric sphincter, and pars pylorica, from cholecystitis with a calculus visible ront- genographically (see Fig. 24). Proven by surgery. Fig. 7. Pressure on terminal wave and cap by four gall- stones. Anterior view. Proven by surgery. testinal content is often thus accentuated, and must not be mistaken for gall-stones. I have not found that the twisted position of the patient, claimed by Pfahler as an essential to the diagnosis of gall-stones, is of any particu- lar advantage. In some instances the calculus is shown so clearly that there is absolutely no doubt of its presence. In other cases it is so indistinct Fig. 6. Fig 8 Fig. 6. Adhesions of cap from cholecystitis with a calculus visible rdntgenographically. Fig. 8. Same case as Fig. 7. Posterior view. (Fig. 22) that it can be discovered only by making several rontgenograms, superimposing two or three of them, and examining them carefully against the sky. A stereoscopic study of two rontgenograms made with the tube in the same position or at slightly differ- ent angles sometimes aids very materially in the detection and interpretation of doubtful shadows. Occasionally an accumulation of