PMC6031073_01
Large ulcerated lesion with no active bleeding and everted edges suspicious for malignancy.
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fig1
Repeat endoscopy showed multiple ulcerated lesions of the gastric mucosa (Figure 1) with a biopsy that revealed necrotic debris with acute leukocytic exudate and numerous variably sized, 90-degree angulated fungal hyphae favoring mucormycosis (Figure 2).
Using Gomori's methenamine silver stain, pathology report of biopsy taken from ulcerated lesion on gastric mucosa shows 90-degree angulated fungal hyphae characteristic of mucormycosis.
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fig2
Repeat endoscopy showed multiple ulcerated lesions of the gastric mucosa (Figure 1) with a biopsy that revealed necrotic debris with acute leukocytic exudate and numerous variably sized, 90-degree angulated fungal hyphae favoring mucormycosis (Figure 2).
CT abdomen (transverse view) shows bilateral hydronephrosis.
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CT scan of the abdomen showed mild-to-moderate hydroureter with hydronephrosis and bladder wall thickening Figures 3 and 4. Cystoscopy showed distorted anatomy of bladder lumen with multiple mounds of tissues all throughout the bladder most notable in the trigone with failure to locate ureteral orifices.
CT abdomen (transverse view) demonstrates nonspecific density and foci of air noted in bladder.
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fig4
CT scan of the abdomen showed mild-to-moderate hydroureter with hydronephrosis and bladder wall thickening Figures 3 and 4. Cystoscopy showed distorted anatomy of bladder lumen with multiple mounds of tissues all throughout the bladder most notable in the trigone with failure to locate ureteral orifices.