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    none: Fig. 1 La face palmaire de la main droite présentait un tubercule des dimensions d'une petite noisette, indolore, hémisphérique, engainé par une couche épidermique demi-cornée, laissant apparaître, au centre, une masse rouge. La peau était normale, autour de cette lésion très dure, dans laquelle une ponction exploratrice ne décela la présence d'aucun liquide. Sur le bord radial de la même main, se trouvait un élément identique, quoique sensiblement, voisinant avec un autre, sur la face dorsale, plus réduit encore et légèrement ombiliqué. Sur la face palmaire de la main gauche, enfin, à hauteur de la première phalange du médius, on constatait un élément analogue à celui de la paume droite, bien que légèrement conique et reposant sur une large base d'épiderme dur
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    none: Fig. 3 Ces colloïdes, pour lesquels l'adhérence à la muqueuse des particules opaques résulterait de phénomènes complexes, paraissent plus spécialement indiqués pour l'étude de la muqueuse du gros intestin que nous n'envisageons pas ici. Nous signalerons simplement qu'ils fournissent d'excellents liquides opaques pour l'étude de l'oesophage, de l'estomac et du duodénum / Fig. 4 Le long de la petite courbure on distingue de deux à quatre plis réguliers qui partent de la région du cardia. Ils decendent parallèlement à la petite courbure, jusqu'à la hauteur de l'angle et divergent en éventail à partir de ce point. Le plus interne peut être souvent suivi jusqu'au pylore / Fig. 5 Le canal pylorique, s'il se projette parallèlement au plan de l'écran, présente pendant son relâchement un ou deux plis très nets. En projection axiale, il apparaît comme une tache entourée de plis radiés et circonscrite par une auréole claire : image assez semblable à celle que peut donner un ulcère duodénal de face / Fig. 6 La muqueuse du bulbe duodénal, à l'état d'évacuation, présente un plissement fin, tantôt longitudinal, tantôt oblique ou même transversal, mais toujours à traits parallèles. Sur les bords, de petites dentelures peuvent apparaître. Pendant la distension provoquée par le passage du bol, le plissement disparaît
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    none: Fig. 1. - A, antre prépylorique ; B, bulbe duodénal (déformé) ; C, deuxième portion du duodénum / Fig. 2. - Estomac et duodénum de profil / Fig. 3. - X, foyer douloureux ; A, défilé iléo-caecal ; B, contraction du caecum / Fig. 4. - A, estomac ; B, bulbe duodénal déformé ; C, deuxième portion du duodénum / Fig. 5. - X, point douloureux ; A, défilé iléo-caecal déformé ; B, caecum contracté / Fig. 6. - Schéma des lymphatiques / Fig. 7. - Tableau schématique six heures après un repas opaque / Fig. 8. - Tableau schématique. Hypersécrétion et hyperkinésie gastriques. Canal pylorique excentré. Bulbe duodénal déformé
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    none: Fig. 1 Des radiographies impressionnées pendant le flux pylorique précisent l'aspect du duodénum. Quand le bulbe est bien rempli, des déformations affectent la grande et la petite courbure / Fig. 2 Des radiographies prises de profil en série pendant l'avacuation pylorique portent une image bulbaire irrégulière ; le milieu du bulbe est contracté, le bord supérieur du bulbe est entamé par une encoche d'un centimètre environ de diamètre apparent et de 4 ou 5 centimètres de profondeur. En regard de cette encoche le bord inférieur du bulbe est flou / Fig. 3 Dans le décubitus dorsal, le palper de la fosse iliaque droite réveille une vive douleur, un repère opaque est placé au centre de la zone anormalement sensible à la pression. L'examen radioscopique prouve que le repère est situé sur le bord gauche du fond du caecum
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