PMC6639657_01
a: Ill-defined loculated multiseptated gas and fluid collection of the gastric fundus (arrows) with free air consistent with gastric perforation. b: Stomach necrosis (arrows) during exploratory laparotomy. c: hematoxylin and eosin (H&E) stain showed vascular thrombosis (magnification x10), with broad, irregularly branched (arrows), rarely septate hyphae (magnification x40).
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A computerized tomography (CT) of the abdomen revealed a loculated multiseptated gas and fluid collection along the posterior aspect of the gastric fundus with free intra-abdominal air consistent with gastric perforation (Fig. 1a). An exploratory laparotomy demonstrated complete stomach necrosis (Fig. 1b). Histopathology of gastric tissue on hematoxylin and eosin (Fig. 1c) and Grocott-Gomori methenamine silver stains showed broad, irregularly branched, rarely septate hyphae consistent with angio-invasive gastric mucormycosis.