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C-0715 - Gastric mucormycosis : Litterature review with an illustrative case.

B. F. B. B. Abreu, F. N. Figueiras, M. Duarte; Santos/BR Type: Educational Exhibit
Area of Interests: Stomach (incl. Esophagus), Gastrointestinal tract, Abdomen
Imaging Techniques: CT, Digital radiography
Procedures: Diagnostic procedure, Surgery, Endoscopy
Special Focuses: Obstruction / Occlusion, Tissue characterisation
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Learning objectives: To perform pathology and imaging correlation of a rare condition that affects mostly immunocompromised individuals.

Background: Mucorrmycosis is considered a rare, opportunistic fungal infection, caused by fungal agents within the order Mucorales1,2. It occurs almost exclusively in immunocompromised hosts mainly patients with diabetes mellitus (the major predisposing factor), leukemia, lymphoma, renal disease, septicemia, bu[...]

Findings and procedure details: Gastrointestinal mucormycosis symptomatology varies, ranging from fever, non-specific abdominal pain, nausea, vomiting than can evolve to hematemesis, melaena, hematochezia or gastrointestinal perforation1. The gold standard diagnosis is histopathological, the biopsy of the suspected area at surgery[...]

Conclusion: In spite of the rarity of gastric mucormycosis, imaging tests are very useful because they direct the medical conduct and guide other complementary methods, such as endoscopy and biopsy, besides analyzing other structures, thus being decisive in the therapeutic orientation.

Personal information:

References: 1. Sánchez Velázquez P, Pera M, Gimeno J, Zapatero A, Nolla J, Pera M. Mucormycosis: an unusual cause of gastric perforation and severe bleeding in immunocompetent patients. Rev Esp Enferm Dig. 2016 Apr 18;109. 2. Kaiser P, Maggio EM, Pfammatter T, Misselwitz B, Flury S, Schneider PM, Dutkowski P, B[...]

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