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September 13, 1965

Primary Gastric Amebiasis Superimposed on Reticulum-Cell Sarcoma

Author Affiliations

From the Veterans Administration Hospital, McKinney, Tex; and the Department of Pathology, University of Texas Southwestern Medical School, Dallas.

JAMA. 1965;193(11):971-972. doi:10.1001/jama.1965.03090110109038

THAT Entamoeba histolytica is occasionally found invading tissues other than colon is well documented. Among the organs rarely involved by amebic lesions are, for example, brain,1 skin,2 lymph nodes,3 bone,4 urinary tract,5 vagina,6 and testis and epididymis.7 The more frequent sites, outside the colon, are the liver and lungs. These remote lesions have generally been encountered concomittantly with a proved infection either in the colon or the liver or both. Regarding the amebic involvement of the stomach, there are cases in the literature8,9 in which amebic abscesses of the liver had extended and ruptured into the stomach. We have been unable to find a single case of primary amebiasis of the stomach before the subject of this communication.

Report of a Case  A markedly undernourished, extremely weak, 66-year-old white man was admitted for the first time to McKinney Veterans Administration Hospital on