PMC7585504_01
Endoscopic images after melena episode. Large amount of ulcerations with bloody discharge at the greater curvature of the fundus to the mid-body (A-C, white arrow).
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The patient underwent emergency esophagogastroscopy, which revealed a large amount of ulceration with bloody discharge at the greater curvature of the fundus to the mid-body (Figure 1).
Microscopic findings of the gastric ulcer showing numerous nonseptate fungal hyphae. (A) Hematoxylin and eosin staining (original magnification, x400). (B) Periodic acid-Schiff staining (original magnification, x400).
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Three days later, the pathology report of the biopsy revealed fungal hyphae consistent with gastric mucormycosis (Figure 2), and intravenous liposomal amphotericin B (5 mg/kg), was started.
Endoscopic images one year after discharge. Large post-inflammatory ulcer scar without rugal fold formation (A and B) and small erosion with surrounding regenerating mucosa (C) at the greater curvature of the proximal body to the mid-body.
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One year after discharge, follow-up esophagogastroscopy was performed, which revealed a large post-inflammatory ulcer scar without rugal fold formation, but there was no active inflammation at the previous lesion (Figure 3).