| Autor: |
Nyatsambo, Chido, Pillay, Krevosha, Moeng, Maeyane Steve, Savage-Reid, Michael John, Lubout, Megan |
| Zdroj: |
International Journal of Surgery Case Reports; Jun2021, Vol. 83, pN.PAG-N.PAG, 1p |
| Abstrakt: |
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 in the form of a right hemicolectomy ('clip and drop') for extensive colonic injuries (AAST Grade V) with contamination of the abdominal cavity [1]. In the days subsequent to the injury, he developed sepsis and progressive bowel ischaemia 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 of 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 ischaemia in the back of their minds when dealing with such patients. [Display omitted] • Emphasizing the need for a high clinical suspicion & diagnosis of rare intra-abdominal infections (gastric mucormycosis) • Identification of an unusual cause of progressive bowel ischaemia in a critically ill patient admitted to the ICU • Management principles of gastric mucormycosis centred around prompt diagnosis, antifungal therapy and surgical debridement. • A reminder of unusual abdominal complication seen in penetrating trauma [ABSTRACT FROM AUTHOR] |
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