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. 2017:40:90-93.
doi: 10.1016/j.ijscr.2017.09.013. Epub 2017 Sep 15.

Invasive gastric mucormycosis: A case report of a deadly complication in an immunocompromised patient after penetrating trauma

Kevin L Chow  1 , David P McElmeel  2 , Henry G Brown  3 , Muhammad S Tabriz  3 , Ellen C Omi  2
Affiliations

Invasive gastric mucormycosis: A case report of a deadly complication in an immunocompromised patient after penetrating trauma

Kevin L Chow et al. Int J Surg Case Rep. 2017.

Abstract

  1. •

    Gastrointestinal Mucormycosis after penetrating abdominal trauma.

  2. •

    Presented post-operatively as a gastropleural fistula.

  3. •

    Disease progresses rapidly and potentially fatal.

  4. •

    Treatment involves early diagnosis, surgical debridement, and anti-fungal therapy.

Keywords: Gastric; Gastrointestinal; Gastropleural fistula; Immunocompromised; Mucormycosis; Penetrating trauma.

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Figures

Fig. 1
Fig. 1
Diagram representing location of 8 gunshot wounds upon initial presentation.
Fig. 2
Fig. 2
CT scan with oral contrast: enteric contrast within the left pleural space with an apparent open communication between the stomach and pleura. There is also continued collapse/consolidation in the left to right mediastinal shift after the placement of a chest tube.
Fig. 3
Fig. 3
Gross specimen of stomach (wide arrow) and GE junction (narrow arrow). Demonstrating hemorrhage and necrosis involving the mucosa and muscularis.
Fig. 4
Fig. 4
(Left) Hematoxylin & Eosin Stain of the stomach. Arrows pointing to broad, nonpigmeneted, non-septated hyphae with right angle branching consistent with Mucor. (Right) Gomori methenamine-silver stain demonstrating Mucor.
Fig. 5
Fig. 5
Hematoxylin & Eosin Stain of the stomach. L – vessel lumen. Thick arrow – demonstrating angioinvasion by Mucor sp.
See this image and copyright information in PMC

References

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