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September 1938


Author Affiliations

Fellow in Surgery, the Mayo Foundation; ROCHESTER, MINN.
From the Division of Surgery, the Mayo Clinic.

Arch Surg. 1938;37(3):505-520. doi:10.1001/archsurg.1938.01200030154010

Tuberculosis of the stomach is an inflammatory granulomatous lesion of the stomach produced by the tubercle bacillus. Little was known about this condition before 1824, when a case was reported by Barkhausen.1 Since that time, however, the subject has aroused considerable interest, and 367 additional cases have been reported. This interest has been due partially to the rarity of the condition, but it also is largely attributable to the interesting clinical problems and varied pathologic manifestations presented by the condition.

Although Barkhausen was the first to report a case of gastric tuberculosis, the condition was not definitely established as a pathologic entity until Litten's2 report and classic description of the findings in a case he had observed in 1876. Four years after the discovery of the tubercle bacillus by Koch in 1882, Coats3 reported a case in which he was able to demonstrate the tubercle bacillus in

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