Eleven cases : roentgenographic and operative findings / by A. Judson Quimby and William Seaman Bainbridge.

  • Quimby, A. Judson (Adoniram Judson), 1875-
Date:
1914
Catalogue details

Licence: In copyright

Credit: Eleven cases : roentgenographic and operative findings / by A. Judson Quimby and William Seaman Bainbridge. 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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    No. II. P. Male, 38. Referred by Dr. William Van Valzah Hayes, New York City.* Operation, N. Y. Poly- clinic Hospital, April 24, 1414. Radiographic Findings (Before Operation) Operative Findings Examination, July, 1913. (jastric ulcer on the lesser curvature near the pylorus. Gastric delay which may l)e due to angulation of the duo- denum at the juncture of the first and second portion. A Lane kink which is only opera- tive in the erect position, there being no organic change or kink producing obstruction when the patient is horizontal. 4'here is some regurgitation of the enema into the ileum. A chronic type of appendix, which may be adherent to the iliac mesentery. A loop in the descending colon, probably due to a mesenteric band. Re- dundant sigmoid. Partial examination April. 1914, oidy of stomach and duo- denum. Pylorus somewhat constric- ted, with slight induration on upper and posterior aspect, toward gastric side. Duodenum distended. Gastro-hepatic omentum con- siderably thickened at its free edge, over the foramen of Wnnslow ; it was also shortened. Opposite this point on greater curvature was a thickened por- tion of great omentum which formed a l)and extending down to the cavum Retzii and to right iliac fossa, below appendix. Typical ileopelvic (Lane’s l)and), very strong. Terminal ileum, caput coli, and angulated appendix tightly liound down l)_v strong bands of adhesion. (dastric ulcer, on lesser cur- \’ature, near pylorus. Angulation of duodenum. *Note: This patient was examined by Dr. Alfred C. Jordan, in London, last year. On April 21, 1914, he saw the patient again, this time in my office, in consultation with me. At this time he examined the radio- graphic plates made by Dr. Quimby. Dr. Jordan said: “There is well marked distension of the duo- denum, with tenderness to pressure. The terminal coil of the ileum is hypertrophied and feels like a cord. There is tenderness over this coil.”
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