Esophagus Stomach Duodenum Capsule Endoscopy Inflammatory Bowel Disease Colon & Ileum Miscellaneous

Gastrointestinal Syphilis

A 36 year-old man presented with complaints of nausea of two months duration, 3-4 weeks of burning upper abdominal pain, and several days of protracted vomiting with intermittent hematemesis (vomiting of blood). He had no prior history of gastrointestinal disease, and denied use of aspirin, ibuprofen-like agents or other gastrointestinal irritants. During his illness he had lost 17 lbs.

Upper endoscopy demonstrated a 2.5 cm ulcer in the proximal gastric body (top photo), numerous stellate and serpiginous ulcers involving the gastric antrum extending into the pyloric channel (middle photo), and an inflamed, cobblestone appearance of the duodenum with superficial ulcerations (bottom photo).

Because of the unusual set of endoscopic findings, an RPR was obtained and was positive at 1:512; FTA was likewise positive. Cerebral spinal fluid VDRL was negative. Gastric and duodenal biopsies revealed both Helicobacter pylori and spirochetes (Treponema pallidum).

Home ASG Info Atlas Index Notable Websites After Hours

Endoscopic images Copyright © Atlanta South Gastroenterology, P.C. All rights reserved.
Logo is Registered Trademark ® of Atlanta South Gastroenterology, P.C.

This site is presented for educational and general informational purposes only. It does not purport to offer medical advice for any specific medical condition or individual patient. We regret that we cannot provide individualized medical advice online, either via this web site or via email. Please refer to our "Notable Web Sites" section, which offers links to several excellent online sources of additional medical information.