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THE SIGNIFICANCE OF LEUCORRHOEA

Br Med J 1935; 2 doi: https://doi.org/10.1136/bmj.2.3911.1199 (Published 21 December 1935)
Cite this as: Br Med J 1935;2:1199 DEc.21,1935 X-RAYDIAGNOSISOFACUTEINTEST

Article inthelightofsubsequentexperience,adistendedcoilof THE

outitwasnotrecognizedat
Related content thetimeowingtoalackofappreciationofthecharacter-
Metrics
Responses examinationintheverticalpositionwasmade.
casesshowednothingresemouns
Peer review

theobstructedcases.Reflexorparalyticdistensionofthe
colon,however, gaveasimilargaseousdistensionpattern
tothatoforganicobstruction, Itisstatedthatthesame
appliestoparalyticdistensionofthesmallgut,butinthe Leucorrh
noopportunityocon discharg

This article has a correction. Please firmingthis.

see: Acaseofchronicobstructionofthecolon ornecess
abammarocturetothatoftheacuteobstructions,
sothattestbyitselfdoesnotindicatethatthe
Correction - November 27, 1965 Obstructioniscompete normal,
Discussion and Conclusions
Itseemsclearthatplainx-rayexaminationsofthe (pH4.2
latter
abdomenprovideatestforintestinalobstructionwhich,
thatthefacilities
formedquickly withoutunduedisturbanceof
maygive
thegreatestvalue. certaincasestheinformation
bacteria
Ontheotherband,itmustbe
charge
thatthetese25 associatedwith
diflicultiesininterpretation. Thesediminishwithexperi- cervical

scanty
theymaystillbepresentevenwithaperfectpictureand
ranging
inobstructionsoftheileum. Inaddition,thetestisno colour
amalcationoftheacutenessoftheobstruction,nordoesau
distinguishbetweenmechanicalandparalyticobstructions. very
Leuco
Thepositionatpresentwouldappeartobethatinmany
casesaplainx-raypictureoftheabdomengivespositive teredfrequen
informationwhichmaynotonlyenableadefinitediag-
nosisofintestinalobstructiontobemade,butmayalso menstru
indicatetheleveloftheobstruction. Insomecasesit general
enablesthediagnosisofintestinalobstructiontobemade isa
minontyorcasestheintormationissoequivocalthato
distress
may
mustbeignored. Onthenegativesidethetestmayindi.
catethatintestinalobstructionisnotthecause
notanxi
abdominalsymptoms. Oneisnaturallymorehesitantto practitio
their
relyonnegativeinformationinanytest,buttakenincon. compels
junctionwithotherclinicalevidencesuchnegativeinforma-
tionmayprovidethedecidingfactoragainstoperation. amount
Oneimportantpointhasnotorenmentioned-namely.
howsoon
ofintestinalobstruction when
Inthepresentseriestheearliestcasewas that
examinedeightcenhoursaftertheonsetof ofthe
tion,whenthetypicalpicturewaspresent. Wangensteen
foundinexperimentsindogsthatpositivefindingswere
presentascarlyasfourtofivehoursaftertheonset,but An
fromtheclinicalwintofviewthisaucationwillhaveto
beworkedoutmorefullybeforethetestcanbeproperly
weareattempungtoobtamturtherintormn and
tiononthispoint,butfromourexperiencesofarweare each
oftheopinionthat,inspiteofthelimitationsindicated, Trast

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oftheopinionthat,inspiteofthelimitationsindicated,
aplainx-rayexamination theabdomenis"most inthese
andworthyofbeingemployedasaroutine carcinom
inallsuspectedcasesofintestinalobstruction. a
Vehavemasurein
inveskingSo.FrioPranceGouldfoo logical
HosogladhoacknowledgeinindebtedestoDr.Graham
chargoofthedepartmentof
honoraryphysicsan Candid

honoraryradiologisttotheHampsteadGeneral
theirdepartmentshavegiven
usintheinvestigation. encount
Cervic

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Sharman A. THE SIGNIFICANCE OF LEUCORRHOEA Br Med J 1935; 2 :1199

doi:10.1136/bmj.2.3911.1199

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