Case Report
 
An unusual case of gastric gangrene, diaphragmatic gangrene and autosplenectomy due to mucormycosis in a diabetic patient
Amrit Manik Nasta1, Kushal Bairoliya2, Shashi Ranjan2
1MS, Senior Registrar in Department of General Surgery at KEM Hospital, Mumbai, Maharashtra, India.
2MS, Junior Registrar in Department of General Surgery at KEM Hospital, Mumbai, Maharashtra, India.

doi:10.5348/ijcri-201518-CR-10479

Address correspondence to:
Dr. Amrit Manik Nasta
C-35, Kataria Colony, V.S. Marg, Mahim
Mumbai 400016, Maharashtra
India
Phone: +919820168478

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How to cite this article
Nasta AM, Bairoliya K, Ranjan S. An unusual case of gastric gangrene, diaphragmatic gangrene and auto-splenectomy due to mucormycosis in a diabetic patient. Int J Case Rep Images 2015;6(2):95–98.


Abstract
Introduction: Stomach has a rich vascular supply and undergoes gangrene in rare circumstances. Some of the known causes include gastric volvulus, diaphragmatic herniation, caustic injury and infectious necrotising gastritis. Mucormycosis, a life-threatening infection caused by fungi of the subphylum Mucoromycotina, order Mucorales, usually affects the para-nasal sinuses, orbit, brain and lung.
Case Report: We report an unusual presentation of gastric mucormycosis in a 50-year-old diabetic male, leading to perforative peritonitis with diaphragmatic gangrene and auto-splenectomy.
Conclusion: Clinical suspicion of mucormycosis in immunosuppressed to aid diagnosis and adequate treatment in the form of antifungal agents and surgery may help improve outcome.

Keywords: Autosplenectomy, Diaphragmatic gangrene, Gangrene of stomach, Gastric Mucormycosis


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Author Contributions
Amrit Manik Nasta – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Kushal Bairoliya – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Shashi Ranjan – Acquisition of data, Analysis and interpretation of data, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Amrit Manik Nasta et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Amrit Manik Nasta is Senior Registrar in Department of General Surgery at Seth G.S. Medical College and KEM Hospital, Mumbai, India. He earned undergraduate degree (MBBS) from Grant Medical College, Mumbai, India and postgraduate degree (MS) General Surgery from Seth G.S. Medical College and KEM Hospital, Mumbai, India. His research interests include gastrointestinal and hepatobiliary surgery. He intends to pursue minimally invasive surgery and metabolic surgery in future.



Kushal Bairoliya is Junior Registrar in Department of General Surgery, KEM hospital, Mumbai, India. He earned undergraduate degree (MBBS) from Maharashtra University of Health Sciences and postgraduate degree (MS) from department of General Surgery, KEM hospital, Mumbai, India. He intends to pursue gastrointestinal surgery in future.



Shashi Ranjan is Junior Registrar in Department of General Surgery, KEM hospital, Mumbai, India. He earned undergraduate degree (MBBS) from Grant Medical College, Mumbai, India and postgraduate degree (MS) from Department of General Surgery, KEM hospital, Mumbai, India.