PEDIATRICS Vol. 10 No. 2 August 1952, pp. 162-168
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GUMMA OF THE STOMACH IN CONGENITAL SYPHILIS

GEORGE WILLEFORD M.D.1, JOHN H. CHILDERS M.D.1, and W. R. HEPNER JR. M.D.1

1 The Departments of Pediatrics and Pathology, University of Texas Medical Branch, Galveston, Texas.

A gummatous lesion of the stomach due to congenital syphilis in an 11 year old white male is described.

A history of vomiting, chronic intermittent abdominal pain, and loss of weight in a child with a positive serologic test for syphilis suggested the possibility of gastric syphilis. The roentgenologic demonstration of a constricting lesion of the stomach, gastric anacidity, and gastroscopic visualization of a red, friable, granular lesion, with ulceration, suggests a syphilitic gastric lesion. Failure to "melt" the lesion with a therapeutic trial of antiluetic medication prompted surgical resection of a large portion of the stomach. A lesion, compatible with the diagnosis of gumma of the stomach, was found in the gross and microscopic examination of the removed tissue.

Submitted on February 10, 1952