A case of carcinoma of the ileum with unusual symptoms / by Anthony Bassler and J. Prescott Grant.

  • Bassler, Anthony, 1874-
Date:
1911
Catalogue details

Licence: In copyright

Credit: A case of carcinoma of the ileum with unusual symptoms / by Anthony Bassler and J. Prescott Grant. 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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    being 3 conjugate to 10 preformed; a few casts were noted in the examination of the sediment. Patient was requested to report again the next morning for x ray examination, but did not return. On inquiry Dr. Frc. 1.—Visible peristaltic movements of the stomach occurring at the end of peristalsis of the small intestine. The onset of the .movements began in the right iliac fossa in a small elevation. This traveled upward on the right side of the abdomen for a short distance, coursed transversely and slightly upward in the ileum, then disappeared in the jejunum, deep and higher on the left side, the whole movement finally terminating in a peristalsis involving the entire stomach. Tracing the stomach movement, the slant from the left costal margin is seen with a peristaltic wave in the upper part of the body of the stomach just below it. Below this is a concave sulcus terminat- ing in the peristaltic wave below, which wave can be traced around the umbilicus in the corresponding pyloric region. At the very height of gastric movement a loud gurgling was audible from the fluid coursing through the stricture in the ileum, and a severe pain was present. Arrow points to the right costal margin.