case_images: PMC11822825_01
case_images: Gastric neoformations seen on endoscopy
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case_images: An endoscopic examination was carried out thereafter, which confirmed several neoformations at the pyloric antrum, ranging in size from 0.5 cm to 2 cm, with a smooth surface, sessile base and hard-elastic consistency (Figure 1).
case_images: Histology of gastric biopsies stained with haematoxylin and eosin showing inflammatory lesions secondary to the presence of Rhizopus microsporus
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case_images: Histological examination revealed severe diffuse necrotising and granulomatous gastritis with intralesional fungal hyphae, consistent with mucormycosis (Figure 2a). Biopsies of the gastric body and duodenum were normal (Figure 2b).
case_images: Stomach as seen on necroscopy. It is evident that there is perforation of the gastric wall and fungal granulomas
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case_images: Post-mortem examination confirmed septic peritonitis as a result of perforation of the gastric wall at one of the neoformations in the pyloric antrum (Figure 3).