[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.146.176.35. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
January 17, 1931

ROENTGEN DIAGNOSIS OF GASTRIC SYPHILIS

Author Affiliations

Professor of Roentgenology, New York University and Bellevue Hospital Medical College; Attending Roentgenologist, Willard Parker Hospital NEW YORK

JAMA. 1931;96(3):179-183. doi:10.1001/jama.1931.02720290023006
Abstract

In June, 1913, I made my first roentgenologic diagnosis of gastric syphilis. The diagnosis was made prior to the examination of the blood, which later was reported as giving a four plus Wassermann reaction. The diagnosis was confirmed also by operation, at which time a gastro-enterostomy was performed by Dr. W. A. Downes, who used the proximal portion of a stomach showing the dumb-bell type of hour-glass deformity. The patient, at that time a girl, aged 14, was referred to me for roentgen examination from the outpatient department of St. Luke's Hospital, New York, with the clinical diagnosis of esophageal stricture. The case was evidently one of congenital syphilis (fig. 1 A). I have reexamined this patient several times. The last examination, made June 12, 1930, seventeen years after gastro-enterostomy, shows that the stomach empties readily through the new opening. Some dilatation of the esophagus still remains as noted at

First Page Preview View Large
First page PDF preview
First page PDF preview
×