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P. R. Casellas, M.D.
JAMA. 1926;87(17):1393. doi:10.1001/jama.1926.92680170001014.
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Mrs. B. H. H. was referred to us by Dr. Paul Rigney for gastro-intestinal examination. A liquid barium meal was given, the total volume of which was 19 ounces (562 cc.). It revealed a stomach shaped between the cow horn and fishhook type, slightly displaced to the left, very flexible and very movable. A gastrospasm at the cardiac end of the stomach causing esophageal retention was observed as soon as the meal was given. It partly disappeared with the patient in the prone position. From the lesser curvature, at the pars media, a large niche equal in size and shape to the pyloric end of the stomach could be seen. This pouch emptied rhythmically with the pyloric end of the stomach, which was seen in its normal position, so that the barium meal passed into the intestine through these two different channels. There was some peristaltic unrest, the meal passing


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