Masquerading fungal bowel mass in an adolescent: a clinicopathological challenge

Abdominal masses clubbed with weight loss in the paediatric age group can raise hairs, especially since malignancy is a differential. We present the case of an early adolescent male who presented with abdominal pain and was found to have a mass mimicking a malignancy. The resected surgical specimen...

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Published inBMJ case reports Vol. 17; no. 3; p. e258081
Main Authors Sarngadharan C, Meera Anitha K Viswambharan, DCunha, Aureen Ruby, Rai, Sandeep B, Prasad, Kishan, Ail, Divya
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 11.03.2024
Subjects
Abdomen
Abdominal Pain - etiology
Adolescent
Age groups
Biopsy
Case reports
Child
COVID-19
Granulomas
Histopathology
Humans
Immunocompetence
Infections
Inflammation
Inflammatory bowel disease
Itraconazole
Laparoscopy
Laparotomy
Lymphoma
Male
Metabolism
Neoplasms
Small intestine
Surgery
Teenagers
Tomography
Tuberculosis
Zygomycosis - diagnosis
Gastrointestinal system
Gastrointestinal surgery
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Summary:Abdominal masses clubbed with weight loss in the paediatric age group can raise hairs, especially since malignancy is a differential. We present the case of an early adolescent male who presented with abdominal pain and was found to have a mass mimicking a malignancy. The resected surgical specimen revealed entomophthoromycosis of the jejunum and he made a complete recovery following surgery and adjuvant itraconazole. The diagnosis of a fungal aetiology in these cases requires a high index of suspicion and background knowledge of the risk factors, disease occurrence and mode of presentation. Gastrointestinal entomophthoromycosis has an impressive potential for cure if promptly diagnosed and treated.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2023-258081