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July, 1945 ROENTGENOLOGICAL AIDS—ROUSSEAU AND MORRIS 319 Fig. 6 bosis with predominant gastro-intestinal symptoms, and acute mesenteric thrombosis. Free gas is present in the abdominal cavity in 85 to 90 per cent of the cases of perforation due to gastric or duodenal ulcer. Skar-by(5) states that the absence of free gas in the remaining cases probably depends upon (1) the position assumed by the patient at the time of the perforation or after the perforation, (2) the degree of fullness of the stomach at the time of perforation, (3) the size of the perforation, (4) the location of the perforation, and (5) the time interval between the perforation and the x-ray examination. Thus, the failure to demonstrate a gas shadow in the peritoneal cavity does not rule out perforation of a gastric or duodenal ulcer. If free gas is seen it clinches the diagnosis, but if it is not seen the negative finding must be viewed with a certain degree of skepticism. Hulten(6) found the most common cause of pneumo-peritoneum to be perforation of a peptic ulcer. Other causes of pneumoperitoneum, which must be differentiated from ruptured ulcer chiefly by clinical findings, are (1) perforation of the intestine by gunshot wounds, (2) perforation of the intestine 5. Skarby. H. G.: Freies Gas in der Bauchhoehle als Zeichen von Perforation. Acta Radiol. 21:263-273 (June) 1940. 6. Hidten, 0.: Ueber den Nutzen von Roentgendiagnostik bei akuten Bauehfaellen, Acta Radiol. 21:471-482 (Oet.) 1940. Fie. 7 in cases of obstruction, (3) ruptured appendix, (4) the Ruben test for pregnancy, (5) laparotomy, (6) peritonitis due to gas-forming organisms, and (7) injuries to the thorax causing pneumothorax and laceration of the diaphragm, through which air may pass from the thorax into the peritoneal cavity. The best method of demonstrating free gas in the abdominal cavity is by a plain film of the abdomen made with the patient in the erect position or lying on his side. The free gas will be seen as a strip of transparency beneath the dome or domes of the diaphragm or along the lateral abdominal gutter (fig. 5). Traumatic Lesions Trauma to the thorax and abdomen with serious pleuro-pulmonary, diaphragmatic, and abdominal complications is not unusual. In these accidents the correct diagnosis is often difficult and in many instances impossible without the aid of scout films of the abdomen and fluoroscopic or plate examination of the chest. Rupture of the diaphragm In traumatic rupture of the diaphragm there may be herniation of the abdominal viscera or of a single viscus into the thorax. Dense opacities in the lower lung fields lat-
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-2001] |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1945 |
Identifier | NCHH-17-006 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 6 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-006.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-006 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Description
Fixed Title * | Page 319 (image) |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1945 |
Identifier | NCHH-17-006-0331 |
Form General | Periodicals |
Page Type | all; all images; x-ray; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolinamed61945medi_0331.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 6 |
Issue Number | 7 |
Page Number | 319 |
Health Discipline | Medicine |
Full Text | July, 1945 ROENTGENOLOGICAL AIDS—ROUSSEAU AND MORRIS 319 Fig. 6 bosis with predominant gastro-intestinal symptoms, and acute mesenteric thrombosis. Free gas is present in the abdominal cavity in 85 to 90 per cent of the cases of perforation due to gastric or duodenal ulcer. Skar-by(5) states that the absence of free gas in the remaining cases probably depends upon (1) the position assumed by the patient at the time of the perforation or after the perforation, (2) the degree of fullness of the stomach at the time of perforation, (3) the size of the perforation, (4) the location of the perforation, and (5) the time interval between the perforation and the x-ray examination. Thus, the failure to demonstrate a gas shadow in the peritoneal cavity does not rule out perforation of a gastric or duodenal ulcer. If free gas is seen it clinches the diagnosis, but if it is not seen the negative finding must be viewed with a certain degree of skepticism. Hulten(6) found the most common cause of pneumo-peritoneum to be perforation of a peptic ulcer. Other causes of pneumoperitoneum, which must be differentiated from ruptured ulcer chiefly by clinical findings, are (1) perforation of the intestine by gunshot wounds, (2) perforation of the intestine 5. Skarby. H. G.: Freies Gas in der Bauchhoehle als Zeichen von Perforation. Acta Radiol. 21:263-273 (June) 1940. 6. Hidten, 0.: Ueber den Nutzen von Roentgendiagnostik bei akuten Bauehfaellen, Acta Radiol. 21:471-482 (Oet.) 1940. Fie. 7 in cases of obstruction, (3) ruptured appendix, (4) the Ruben test for pregnancy, (5) laparotomy, (6) peritonitis due to gas-forming organisms, and (7) injuries to the thorax causing pneumothorax and laceration of the diaphragm, through which air may pass from the thorax into the peritoneal cavity. The best method of demonstrating free gas in the abdominal cavity is by a plain film of the abdomen made with the patient in the erect position or lying on his side. The free gas will be seen as a strip of transparency beneath the dome or domes of the diaphragm or along the lateral abdominal gutter (fig. 5). Traumatic Lesions Trauma to the thorax and abdomen with serious pleuro-pulmonary, diaphragmatic, and abdominal complications is not unusual. In these accidents the correct diagnosis is often difficult and in many instances impossible without the aid of scout films of the abdomen and fluoroscopic or plate examination of the chest. Rupture of the diaphragm In traumatic rupture of the diaphragm there may be herniation of the abdominal viscera or of a single viscus into the thorax. Dense opacities in the lower lung fields lat- |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-006.pdf |
Document Sort | all; nchh-17 |
Article Title | Roentgenological Aids In The Differential Diagnosis Of Acute Abdominal Conditions |
Article Author | J. P. Rousseau; L. M. Morris |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-006 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
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