A case report on a rare cause of bowel ischemia in penetrati
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Gastric mucormycosis is a rare condition that usually manifests in immunocompromised patients. It's a lethal disease with a poor prognosis requiring prompt diagnosis and aggressive management.

Although found more commonly in immunocompromised patients, it can also affect the immunocompetent patient, highlighting the importance of clinical suspicion when dealing with a critically ill patient.

This is a case report on a patient who presented with penetrating trauma to the abdomen requiring surgical intervention. Damage control surgery was performed to the right hemicolectomy (‘clip and drop’) for extensive colonic injuries (AAST Grade V) with contamination of the abdominal cavity. In the days subsequent to the injury, he developed sepsis and progressive bowel ischemia and necrosis, requiring surgical debridement. Histological findings revealed mucormycosis of the gastrointestinal tract.

The diagnosis of mucormycosis depends on high clinical suspicion as well as histopathological evidence. The management comprises surgical debridement and appropriate antifungal therapy. Timeous diagnosis and adequate treatment may improve the prognosis.

This was a challenging case for the clinicians involved, highlighting that the clinician should consider this infection as a rare cause of bowel ischemia in the back of their minds when dealing with such patients.

International Journal of Surgery Case Reports
Source: https://doi.org/10.1016/j.ijscr.2021.106010
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