A rare case of invasive intestinal mucormycosis: a case report

Authors

  • Mohini Parmar Department of General Surgery, SVP Hospital, Ahmedabad, Gujarat, India
  • Kamlesh A. Bhadreshwara Department of General Surgery, SVP Hospital, Ahmedabad, Gujarat, India
  • Tushar Kanajariya Department of General Surgery, SVP Hospital, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20241409

Keywords:

Invasive intestinal mucormycosis, Resection and anastomosis, Emergency, Chronic inflammation, Life threatening

Abstract

Mucormycosis is an uncommon, life threatening infection, also known as zygomycosis. Most infections are fatal. We reported a case of a 38 year old male patient who presented with generalised abdominal pain, fever and vomiting for 15 days. Patient was a known case of chronic kidney disease. On per abdominal examination, guarding and rigidity were present. Patient was taken for an emergency exploratory laparotomy. Approximately 1500 ml toxic fluid with faeces was drained on entering the abdominal cavity. Sloughed out caecum with multiple perforations and gangrenous terminal ileum with ascending colon was seen. Non-viable segments were resected and stoma was given. Resected segment was sent for histopathological examination. On histopathological examination, invasive small intestinal mucormycosis with acute on chronic inflammation with ulceration, perforations and serositis with hemorrhagic necrosis and infarction was found. Patient vitally deteriorated in the post-operative period and succumbed to death due to cardiac failure with septicemia.

References

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Published

2024-05-29

Issue

Section

Case Reports