I. ADHESIONS OBSTRUCTING TRANSVERSE COLON
—Mrs. McM., aged 41, a patient of Dr. Gonzales, was referred to Dr. Robert Coleman Kemp, the gastro-enterologist, and Dr. Parker Syms, the surgeon, with a history of having an amputation of the cervix eighteen years ago, hysterectomy thirteen years ago and an operation for adhesions and removal of the appendix seven years ago. Subsequent to the last operation she had suffered from constipation and prolapsus ani to such an extent as to suggest a kink in the sigmoid or an invagination into the rectum.
—I was asked to make a radiograph to determine the nature and seat of the obstruction. The stomach and intestines were empty and an enema was given which filled the rectum and large intestine with an opaque emulsion of bismuth oxychlorid and bolus alba.This is sufficient for one injection per rectum.