"An unusual presentation of colonic mucormycosis mimicking carcinoma colon- a surgeon's perspective".
BACKGROUND
Mucormycosis caused by order mucorales, an ubiquitous saprophytic mold found in soil and organic matter worldwide, is a rare but invasive opportunistic fungal infection. Gastrointestinal mucormycosis is the most uncommon clinical presentation being particularly rare, accounted for 4-7% of all cases.


METHODS
We report an unusual presentation of mucormycosis of ascending colon that was simulating carcinoma colon.


CONCLUSIONS
GI mucormycosis most commonly involves the stomach (57.5%), followed by the colon (32.3%) and the ileum (6.9%). Initial presentations may be abdominal pain and distension, fever, and diarrhoea. Colonic mucormycosis presenting as a mass with altered bowel habit, melena and abdominal pain in our case is extremely difficult to differentiate it from carcinoma colon. A definitive diagnosis of mucormycosis is almost always ascertained by histopathological evidence of fungal invasion of tissue.


CONCLUSIONS
Knowing these unusual presentations of this disease, surgeon need to maintain a high index of suspicion and perform timely and appropriate diagnostic evaluation to improve patient outcome. Prompt diagnosis, reversal of predisposing conditions, and aggressive surgical debridement remain cornerstones of therapy for this deadly disease.
Department of General Surgery, SCB Medical College, Cuttack, Odisha 753003, India.
Prasanna
P
Kumar Debata
Department of General Surgery, SCB Medical College, Cuttack, Odisha 753003, India. Electronic address: drsangram83@gmail.com.
Sangram
S
Keshari Panda
Department of General Surgery, SCB Medical College, Cuttack, Odisha 753003, India. Electronic address: atmanranjan@gmail.com.
Atmaranjan
A
Dash
Department of General Surgery, SCB Medical College, Cuttack, Odisha 753003, India.
Ramakant
R
Mohanty
Department of General Surgery, SCB Medical College, Cuttack, Odisha 753003, India.
Biranchi
B
Narayan Mallick
Department of General Surgery, SCB Medical College, Cuttack, Odisha 753003, India. Electronic address: debabrata.tadu@gmail.com.
Debabrata
D
Tadu
Department of General Surgery, SCB Medical College, Cuttack, Odisha 753003, India. Electronic address: drvivekgnath@gmail.com.
Vivek
V
G Nath
Department of General Surgery, SCB Medical College, Cuttack, Odisha 753003, India. Electronic address: avinash.sahoo3448@gmail.com.
Abhinash
A
Sahoo
Angioinvasion; Mucormycosis; Polypoidal mass; Ubiquitous saprophytic mold