FUNGAL INFECTION: A RARE CAUSE OF GASTRIC PERFORATION

Authors

  • Rohan Habib Ayub Teaching Hospital , Abbotabad KPK
  • Muhammad Waqas Afzal Ayub Teaching Hospital , Abbotabad
  • Fahad Ahmed Ayub Teaching Hospital Abbotabad

Abstract

 Gastric perforation is among one of the common indications for a laparotomy. It can occur as a result of an erosive ulcer, long term usage of NSAIDs and malignancy among other causes. Here we report a case of a 70-year-old man with an invasive fungal infection as a cause of his gastric perforation based on histopathological evidence. Although very rare it should be kept in mind as an etiological factor of upper GI perforation especially in old age patients. To the best of our knowledge no previous data on such an association has been reported in our country.Keywords: Gastric perforation; Laparotomy; Ulcer; NSAIDs; Malignancy; Fungal infection

Author Biographies

Rohan Habib, Ayub Teaching Hospital , Abbotabad KPK

Trainee medical officer surgical A unit Ayub Teaching Hospital Abbotabad

Muhammad Waqas Afzal, Ayub Teaching Hospital , Abbotabad

Trainee medical officer surgical A unit Ayub Teaching Hospital Abbotabad

Fahad Ahmed, Ayub Teaching Hospital Abbotabad

Trainee medical officer medical A unit Ayub Teaching Hospital Abbotabad

References

Soreide K, Thorsen K, Harrison EM, Bingener J, Moller HM, Ohene-Yeboah M, et al. Perforated peptic ulcer. Lancet 2015;386(10000):1288–98.

Moller MH, Adamsen S, Thomsen RW, Moller AM. Multicentre trial of a preoperative protocol to reduce mortality in patients with peptic ulcer perforation. Br J Surg 2011;98(6):802–10.

Afridi SP, Malik F, Rahman S, Shamim S, Samo KA. Spectrum of perforation peritonitis in Pakistan: 300 cases Eastern experience. World J Emerg Surg 2008;3(1):31–6.

Huang J, Sridhar S, Hunt R. Role of Helicobacter pylori infection and non-steroidal anti-inflammatory drugs in peptic-ulcer disease: A meta-analysis. Lancet 2002;359(9231):14–22.

Minj AA, Kerketta ZH, Bakey SC, Murari K, Bodra P, Malua S. A prospective study of gastric perforation due to fungal infection in RIMS Ranchi Jharkhand. J Dent Med Sci 2018;17(4):32–5.

Bakhshi GD, Borisa AD, Shaikh AS, Thadeshwar NR, Kher Y, Kapadnis LA, et al. Invasive gastric candidiasis with perforation. Bombay Hosp J 2011;53(2):264–65.

Gupta N. A Rare Cause of Gastric Perforation-Candida Infection: A Case Report and Review of the Literature. J Clin Diagn Reg 2012;6(9):1564–5.

Downloads

Published

2020-02-20