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Case ReportCase Report
Open Access

Invasive mucormycosis in benign gastric ulcer

Ammar C. Al-Rikabi, Abdullah D. Al-Dohayan and Ahmad A. Al-Boukai
Saudi Medical Journal March 2000, 21 (3) 287-290;
Ammar C. Al-Rikabi
Department of Histopathology, King Khalid University Hospital, PO Box 186, Riyadh 11323, Kingdom of Saudi Arabia. Tel. +966 (1) 467 1064 Fax. +966 (1) 467 2462.
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Abdullah D. Al-Dohayan
Department of General Surgery, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia.
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Ahmad A. Al-Boukai
Department of Radiology, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia.
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Abstract

Fungal elements are frequently noted overlying the base of chronic peptic ulcers of the stomach and it has been suggested that the fungi enhance the degree of necrosis and that these cases have protracted disease and deeper ulcers with more perforations. It has also been postulated that the number of fungal elements might be increased in the stomach of patients who are receiving potent medications such as H2-receptor antagonists to reduce gastric acidity, but there have not been adequate control studies, and the deleterious effects from the presence of the fungi in these cases have not been substantiated. We present a very rare case of invasive mucormycosis (phycomycosis) occurring in the base of a chronic gastric ulcer in a 55 years old diabetic male. This case was clinically and radiologically been mistaken for a gastric carcinoma. In addition, the ulcer was complicated by perforation and fungal septicemia with subsequent fatal outcome. The clinical, radiological and histopathological features are described together with a literature review of other reported fungal gastric ulcers.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 21 (3)
Saudi Medical Journal
Vol. 21, Issue 3
1 Mar 2000
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Invasive mucormycosis in benign gastric ulcer
Ammar C. Al-Rikabi, Abdullah D. Al-Dohayan, Ahmad A. Al-Boukai
Saudi Medical Journal Mar 2000, 21 (3) 287-290;

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Invasive mucormycosis in benign gastric ulcer
Ammar C. Al-Rikabi, Abdullah D. Al-Dohayan, Ahmad A. Al-Boukai
Saudi Medical Journal Mar 2000, 21 (3) 287-290;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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