A rare cause of ischemic gut: A case report

被引：3

作者：

Lee, Zhen Jin ^{[1
]}

Chia, Claramae ^{[2
]}

Busmani, Inese ^{[3
]}

Wong, Wai Keong ^{[1
]}

机构：

[1] Singapore Gen Hosp, Dept Gen Surg, 1 Hosp Dr, Singapore 169608, Singapore

[2] Natl Canc Ctr Singapore, Dept Surg Oncol, 11 Hosp Dr, Singapore 169610, Singapore

[3] Singapore Gen Hosp, Dept Pathol, 1 Hosp Dr, Singapore 169608, Singapore

来源：

INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS | 2016年 / 20卷

关键词：

Mucormycosis; Fungal; Gastrointestinal; Ischemia; Gastric; Pneumotosis;

D O I：

10.1016/j.ijscr.2016.01.018

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

INTRODUCTION: Mucormycosis is a fungal infection that is a rare cause of gastrointestinal ischemia, usually found in the immunocompromised or patients with extended surgical intensive care unit stay. This case report brings to light the rare presentation of a total gastric infarction secondary to a rare fungal infection where the overall outcome of the patient depends on timely diagnosis and management. CASE PRESENTATION: An elderly Malay female patient in our institution developed severe sepsis. Radiological investigations revealed an intra abdominal source of sepsis likely secondary to total gastric ischemia. Both the abdominal X-ray and computed tomography scan showed evidence of gastric pneumotosis. She was diagnosed with gastric ischemia and underwent a total gastrectomy. However post surgically she continued to deteriorate and passed away 5 days later. CONCLUSION: Recognition of mucormycosis infection is pertinent to commence anti fungal treatment early with timely implementation of subsequent surgical management. Early access to surgery is necessary to improve cure rates in patients with mucormycosis as antifungal treatment alone is usually not adequate for cure. (C) 2016 The Authors. Published by Elsevier Ltd. on behalf of IJS Publishing Group Ltd.

引用

页码：114 / 117

页数：4

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