PMC9381012_01
Abdominal and pelvic CT scan of a 75-year-old man showing a perforation of the anterior wall of the rectum.
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Abdominal and pelvic computed tomography (CT scan) with intravenous contrast showed a perforation of the anterior wall of the rectum (Figure 1).
Upper gastrointestinal endoscopy showed suspicious ulcerated lesions along the large anterior gastric tuberosity, surrounded by a budding mucosa.
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Several upper GI endoscopies showed multiple ulcerated lesions along the greater gastric tuberosity, on the anterior wall, 3 to 4 cm in diameter, surrounded by a budding edematous mucosa, and fragile on contact (Figure 2).
Recto-sigmoidoscopy of a 75-year-old man showing uncommon fistulous orifice with leakage on the anterior rectal wall.
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Lower GI endoscopy showed a productive fistulous orifice with a whitish filamentous discharge at the anterior aspect of the rectum (Figure 3).
Histopathology of the gastric biopsies had shown a typical of Muchorales image, suggestive mucormycosis.
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Histopathological examination of gastric biopsy showed acute and subacute inflammatory remodeling mixed with filamentous elements suggestive of mucormycosis (Figure 4).
Upper gastrointestinal endoscopy 4 weeks after liposomal amphotericin B, showing numerous scarred stellar lesions sometimes with retraction of the greater gastric tuberosity and anterior wall.
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Upper gastrointestinal endoscopy after 4 weeks showed healing of the gastric ulcers (Figure 5).