The normal stomach occupies the left hypochondrium and epigastrium, and with the transverse colon produces a slight protuberance of the abdomen above the umbilicus. "When the organ is much dilated it tends to become displaced by its own weight, and occupies the umbilical or even the hypogastric region. In these circumstances inspection reveals a sulcus or depression across the epigastrium, with a swelling at or below the level of the navel. The degree of gastroptosis varies according to the position of the pylorus, being comparatively slight when adhesions exist between it and the liver, but usually very pronounced if the tumour is not attached to the surrounding viscera. In the latter case the pylorus becomes dislocated downwards and to the left by the weight of the enlarged stomach, and in two of our cases was found after death to be adherent to the uterus in the pelvis (fig. 44).