PMC6715833_01
Contrast-enhanced computed tomography (CECT) of the abdomen.. A complex mass in the right iliac fossa involving the ileal loops and looks separate from the ascending colon. It measures 8 cm x 8.4 cm x 6.3 cm.
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Axial contrast-enhanced computed tomography (CECT) of the abdomen revealed a complex mass in the right iliac fossa involving the ileal loops and measuring8 cm x 8.4 cm x 6.3 cm (Fig. 1).
(A-D): Histopathologic section of cecum.. A: Multiple areas of mucosal ulceration, transmural dense inflammatory infiltrate dominated by eosinophils with multiple micro and macro abscesses with thin walled hyphae surrounded by a bright eosinophilic hyaline material radiating out into the surrounding infiltrate creating the Splendore-Hoeppli phenomena. (H&E x600). B: Coagulative necrosis in the wall of the cecum with fungal hyphae of Basidiobolus with the Splendore-Hoeppli phenomena. (H&E x400). C and D: Numerous broad and thin walled hyphae with occasional septations demonstrated with Periodic Acid Schiff stain (PAS x600) and with Gomorrhi's Methenamine-Silver stain (GMS x 600).
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Tissue blocks and slides of the excised surgical specimens (ileum, cecum, and appendix) were obtained from the referring hospital and were re-examined (Fig. 2).