INCIDENCE AND SIGNIFICANCE OF THE ROENTGENOLOGIC NICHE IN DUODENAL ULCER
Authors: B. R. Kirklin, H. A. Burch
Journal: Annals of Internal Medicine (1935)

Article1 October 1935INCIDENCE AND SIGNIFICANCE OF THE ROENTGENOLOGIC NICHE IN DUODENAL ULCERB. R. KIRKLIN, M.D., F.A.C.P., H. A. BURCH, M.D.B. R. KIRKLIN, M.D., F.A.C.P.Search for more papers by this author, H. A. BURCH, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-9-4-436 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn 1911, at the fortieth assembly of the German Surgical Society, Martin Haudek mentioned the niche as one of the roentgenologic signs of duodenal ulcer, and in a formal paper published in 1912 he cited among several cases four in which niches were demonstrated. In these cases the crater of the ulcer was depicted by a small deposit of bismuth which could scarcely be displaced by manipulation and corresponded to a point on the abdomen that was sensitive to pressure. Although his descriptions and drawings were convincing, the new sign of duodenal ulcer apparently received little attention, and the diagnosis...Bibliography AKERLUND A: Roentgen diagnosis of ulcus duodeni with respect to the local "direct" roentgen symptoms, Acta Radiol., 1923, ii, 14-30. Google Scholar AKERLUND A: Present-day criteria of x-ray diagnosis of duodenal ulcer, Am. Jr. Surg., 1931, xi, 233; 504. CrossrefGoogle Scholar ALBRECHT HU: Quoted by Geyman. Google Scholar BERG HH: Direct signs of duodenal ulcer, Brit. Jr. Radiol., 1925, xxx, 372-376. Google Scholar CARMANSUTHERLAND RDCG: Duodenal niche, Am. Jr. Roentgenol. and Radium Therap., 1926, xvi, 101-106. Google Scholar CLARKGEYMAN DMMJ: Roentgen evidence of healing in duodenal ulcer, Jr. Am. Med. Assoc., 1934, cii, 107-112. CrossrefGoogle Scholar COLE LG: The diagnosis of post-pyloric (duodenal) ulcer by means of serial radiography, Lancet, 1914, i, 1239-1244. CrossrefGoogle Scholar DIAMOND JS: Niche as roentgen sign of duodenal ulcer with a report of 42 cases, Radiology, 1925, iv, 93-100. CrossrefGoogle Scholar ETTINGERDAVIS AWE: X-ray diagnosis of activity and cure of duodenal ulcer, Am. Jr. Digest. Dis. and Nutrition, 1934, i, 579-581. CrossrefGoogle Scholar GEYMAN MJ: Evaluation of compression technique in roentgen demonstration of duodenal lesions, Am. Jr. Roentgenol, and Radium Therap., 1932, xxviii, 211-222. Google Scholar HAUDEK M: Der radiologische Nachweis des Ulcus duodeni, Med. Klin., 1912, viii, 181-224. Google Scholar KIRKLIN BR: Duodenal ulcers that may escape roentgenologic diagnosis, Med. Clin. N. Am., 1931, xv, 177-184. Google Scholar MANN FC: Chemical and mechanical factors in experimentally produced peptic ulcer, Surg. Clin. N. Am., 1925, v, 753-775. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Rochester, Minnesota*Read before the Philadelphia meeting of the American College of Physicians, May 1, 1935.From The Mayo Clinic, Rochester, Minnesota. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPeptic Ulcerations in ChildhoodThe Value of Radiology in Assessing the Progress of Duodenal Ulceration under Treatment 1 October 1935Volume 9, Issue 4Page: 436-443KeywordsBismuthDuodenal ulcersUlcers ePublished: 1 December 2008 Issue Published: 1 October 1935 PDF downloadLoading ...