January 1993

Gastric Syphilis Mimicking Linitis Plastica

Author Affiliations

From the Departments of Surgery (Dr Abdu), Pathology (Dr Carter), and Clinical Research (Dr Pomidor), St Elizabeth Hospital Medical Center, Youngstown, Ohio.

Arch Surg. 1993;128(1):103-104. doi:10.1001/archsurg.1993.01420130115017

• The decreased incidence of gastric syphilis has made its clinical presentation less widely appreciated. A 61-year-old man suffering from epigastric pain, nausea, and vomiting had an initial diagnosis of gastric carcinoma; the pathologic diagnosis was equivocal. Eventually, gastric syphilis was diagnosed. In the context of the case described below, positive serologic findings in a relatively young adult should raise the suspicion of gastric syphilis. Carcinoma must be ruled out, lest the patient lose valuable time while being treated for syphilis.

(Arch Surg. 1993;128:103-104)