Identifier: diseasesofstomac00lock (find matches)
Title: Diseases of the stomach : including dietetic and medicinal treatment
Year: 1913 (1910s)
Authors: Lockwood, George Roe
Subjects: Stomach Diseases Stomach
Publisher: Philadelphia New York : Lea & Febiger
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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)e quite indistinguish-able from the ordinary form of gastric ulcer, although microscopicalexamination nia\ show the characteristic of syphilitic cndartiTitis sothat there is no doubt of the specific origin of the ulcer. SYlIIILIS OF THE STOMACH 305 Symptoms.—The symptoms of syphilitic ulcer (hj not vary materiallyfrom those of the non-specifie form. Hemorrhage or perforation mayoccur and either complication may be the first indication of the gastricdisease. In one of the writers patients, a young man was taken in the streetwith such severe hematemesis that he was brought by ambulanceinto the hospital in an exsanguinated condition, and utterly unable,by reason of his weakness, to give any facts of his past history. Thehemorrhages continued in spite of all treatment and he died eighthours after his admission. Fig. 52
Text Appearing After Image:
Syphilitic ulcer of the stomach. The history of this case is given in full in the text. The mucous membrane of the lesser curvature was the seat of anextensive serpiginous ulceration involving an area approximately6 by 5 cm. The edges were irregularly sinuous, slightly raised but notindurated. The floor was composed of the submucosa, was clean andnot covered by slough. About 2 cm. from the left border of the cardiacorifice just within the margin of the ulcer were seen the eroded ends oftwo vessels which projected slightly above the surface of the ulcer.About 3 cm. from the pyloric ring along the greater curvature is a smallpolypoid outgrowth, adjacent to which was a superficial irregular ulcer2 cm. in diameter haAing the general characteristic of the larger onejust described. The wall of the stomach from the pyloric ring to beyond the limitsof the ulcer was markedly thickened by the replacement of tlie sub-20 3()(i rVBERCULOSlS AND SYPHILIS OF THE STOMACH mucosa by firm, whitish, infi

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