Ileocecal basidiobolomycosis mimicking malignancy successfully treated without surgery: A case report

Figure 1 Computed tomography scan. A: The axial section of the computed tomography (CT) scan shows a mass lesion involving the ileocecal region (yellow arrow) without complete obstruction of the intestinal lumen (yellow arrowhead); B: The coronal section of the CT scan shows a mass lesion involving the ileocecal region (yellow arrow).

Figure 2 Colonoscopic findings. A: On reaching the proximal ascending colon, a protruding, fungating, granular and friable mass is seen originating from the cecum; B: On going deep into the cecum, fungating, granular and friable mass appears to extend into the ileocecal area.

Figure 3 Histopathological features of cecal mass biopsies. A: Medium-power view showing necroinflammatory slough with a few scattered transected fungal hyphae surrounded by intensely eosinophilic material (arrows) [hematoxylin & eosin (H&E), × 200]; B: High-power view showing necroinflammatory slough with a few scattered transected fungal hyphae surrounded by intensely eosinophilic material (arrows) constituting the Splendore-Hoeppli phenomenon (H&E, × 400); C: A septate fungal hyphae can be seen (arrow) embedded in the necroinflammatory slough (PAS, × 200); D: A septate fungal hyphae can be seen (arrow) embedded in the necroinflammatory slough (GMS, × 200).

Figure 4 A specific and pragmatic approach to manage cases of clinically non-suspected cases of basidiobolomycosis in the future. GI: Gastrointestinal; CT: Computed tomography; MRI: Magnetic resonance imaging; GIB: Gastrointestinal basidiobolomycosis; IBD: Inflammatory bowel disease.