Primary Actinomycosis of the Stomach

In 1925, Sanford and Voelker1were able to find 670 cases of actinomycosis which had been reported in the United States. In the last six years additional reports have increased that figure to nearly a thousand. In 18 per cent of these 670 cases the lesions were intra-abdominal, involving the intestine, appendix or liver, but no stomach involvement was reported. To those engaged in practice for twenty-five years it must seem apparent that the number of reported cases fail to reveal the true incidence of actinomycosis; that surely several thousand cases of actinomycosis of the head and neck, skin and extremities must have been observed during that time. The reason for reporting a case of primary actinomycosis of the stomach is twofold. In the first place, no cases have been reported in this country, and apparently there is only one authentic case in the European literature. Secondly, there is