SYPHILIS OF THE STOMACH

-REPORT OF A CASE-

Abstract

A 28-year-old male was admitted to our service because of epigastric pain and vomitting. UGI series revealed irregular angulus and narrowing and shortening of the antrum of the stomach. Endoscopic examination revealed large and shallow irregular ulcers, erosions and edematous red mucosa mainly in the antrum up to the lower body of the stomach. The serological test for syphilis on admission was strongly positive. There was no healing tendency of the lesion by treatment with H₂ receptor antagonist, and microscopic findings of gastric biopsy specimen showed non-specific inflammatory changes. Consequently, Syphilis of the stomach was considered and he was successfully treated by antiluetic medication with complete cure. The pictures of serial endoscopic follow up studies were presented, and literature review for the past 10 years was also made.