Stomach in a Femoral Hernia
作者:
期刊:
The British Journal of Radiology
(WILEY Available online 1948)
卷期:
Volume 21,
issue 243
页码: 143-145
年代: 1948
DOI:10.1259/0007-1285-21-243-143
出版商: The British Institute of Radiology
数据来源: WILEY
摘要:
The diversity of sites in which the stomach may be found is well recognised, but a stomach lying anterior to the upper third of the left thigh so that it can be radiographed on the same film which includes both knee joints is an extreme rarity.The patient was a woman aged 56. She was short, slightly bent and looked older than her age. She was admitted to the Battle Hospital, Reading, for investigation of the cause of recent loss of weight with flatulence and dyspepsia. Her weight on admission was 4 stone 4 lb. It was noted that a very large left femoral hernia was present.I was asked to investigate the stomach to exclude a gastric carcinoma, and at the time of the examination I was unaware of the presence of the hernia which was hidden by the gown which the patient was wearing.At screen examination, the first few mouthfuls of barium revealed a long J-shaped stomach with normal mucosal pattern. With slightly greater filling I was surprised, and not a little alarmed, to see a tubular projection of barium from the lower third of the greature curvature descending rapidly towards the left hip joint (Fig. 1). A few seconds later the greater part of the stomach and duodenum were below the hip joint (Fig. 2), and as a matter of interest I recorded the view of the stomach and both knee joints on one 15 × 12 film (Fig. 3).
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