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Coronal enhanced computed tomography scan of the abdomen showing an obstructing transverse colon mass (arrow).
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Multiple enlarged mesenteric lymph nodes were also present, the largest measuring 1.2 cm in diameter (Fig. 1, Fig. 2, Fig. 3).
Axial enhanced computed tomography scan of the abdomen showing an obstructing transverse colon mass (arrow).
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Multiple enlarged mesenteric lymph nodes were also present, the largest measuring 1.2 cm in diameter (Fig. 1, Fig. 2, Fig. 3).
En bloc resected specimen showing transverse colon wall thickening with necrotic debris in the lumen.
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En bloc excision was performed (Fig. 4), and the abdominal incision was closed for a second-look procedure (damage control surgery).
Transverse and longitudinal sections of the mass showing irregular wide hyphae with occasional septa.
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The typical picture comprised zygospores and irregular wide hyphae with occasional septa, surrounded by thick eosinophilic material (Splendore-Hoeppli phenomenon; Fig. 5, Fig. 6).