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Ileocolonic mucormycosis in adult immunocompromised patients: a surgeon s perspective Lo OS; Law WLWorld J Gastroenterol 2010[Mar]; 16 (9): 1165-70We report three cases of ileocolic mucormycosis in adult immunocompromised patients presenting as acute abdomen. All patients underwent laparotomy but two of them died from multiorgan failure before the diagnoses were confirmed. The diagnosis of gastrointestinal mucormycosis is rarely suspected, and antemortem diagnosis is made in only 25%-50% of cases. These cases illustrate the difficulty encountered by surgeons in managing acute abdomen in neutropenic patients with hematological malignancy. The management of colonic mucormycosis in the published literature is also reviewed.|*Immunocompromised Host[MESH]|Abdomen, Acute/immunology/microbiology[MESH]|Adult[MESH]|Aged[MESH]|Antifungal Agents/therapeutic use[MESH]|Antineoplastic Agents/*adverse effects[MESH]|Colonic Diseases/*diagnosis/immunology/microbiology/therapy[MESH]|Fatal Outcome[MESH]|Female[MESH]|Hematologic Neoplasms/complications/immunology/*therapy[MESH]|Humans[MESH]|Ileal Diseases/*diagnosis/immunology/microbiology/therapy[MESH]|Laparotomy[MESH]|Male[MESH]|Middle Aged[MESH]|Mucormycosis/*diagnosis/immunology/microbiology/therapy[MESH]|Multiple Organ Failure/immunology/microbiology[MESH]|Neutropenia/immunology[MESH]|Radiotherapy, Adjuvant/adverse effects[MESH]|Treatment Outcome[MESH]|Young Adult[MESH] |
