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Pyloric Stenosis and Fibrous Stricture of the Stomach Due to Ferrous Sulphate Poisoning

1953; BMJ; Volume: 2; Issue: 4847 Linguagem: Inglês

10.1136/bmj.2.4847.1200

0959-8138

F. G. M. Ross,

Biliary and Gastrointestinal Fistulas

of water, in the left 105 cm.Radiographs of the chest con- firmed the lower position of the left clavicle (Fig. 3).A phlebogram carried out by injection into the antecubital veins showed a hold-up of the radio-opaque material at the outer edge of the first rib on the left, but not on the right.The arm was rested in a sling so adjusted as to elevate the tip of the elbow and thus the whole shoulder girdle.This resulted in a pronounced dimin- ution in the oedema.The patient refused operative removal of a por- tion of the first rib.Comnmtent.-It seems that in some , cases of post-opers ~~ative oedema of s the arm after radical mastectomy the condition is due to dropping of the shoulder girdle fol- _iihE lowing the operation, leading to obstruction of the FIG.2.-Photograph of Case 3 after subclavian vein by radical amputation of the left breast with pressure on the venous oedema of the left arm.Observe first rib.The ob- the dropping of the tip of the shoulder vious treatment of and clavicle on the left side.such cases would appear to be re- moval of that por- tion of the first rib causing the ................