Abstract
An attempt to elucidate the roentgenologic findings of the deformity of stomach, duodenum and gallbladder resulting from intra-abdominal adhesion was undertaken on 92 patients in comparison with those on operation. The results may be summarized as follows;
No deformity in pars media of stomach could be induced by adhesion with a few exceptions. Deformity in gastric angle could not be caused by adhesion itself, but likely by pathologic changes in mucosa. This fact suggests that there are possible presence of either ulcer or cancer of stomach. Antrum is, in general, predisposing portion of adhesion, being easily deformed by the adhesion.
Roentgenologic characteristic features of Antrum due to adhesion are of either lineal or irregular deformity, particularly topical changes of longitudinal axis of antrum.
Differentiation between the deformity in duodenal cap easily induced by adhesion are important and difficult. Duodenal cap due to adhesion without ulcer reveals practically an irregular and a fall-like deformity centributable to differentiation. Therefore, deformity of duodenal cap without ulcer is considered to be of adhesional origin.
Abnormalities in longitudinal axies of duodenum are significant features of adhesion, also.
Cholecystography with simultaneous duodenography is reliable methode in diagnosis of adhesion of gallbladder. Deformity of duodenum with negative finding in cholecystograms suggests the possible presence of adhesion between gallbladder and surrounding tissues.
