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A rare case of gastric perforation by Candida albicans: A case report

Gastric perforation due to fungal microorganisms are unusually rare. Most of the cases of gastric perforation results arising out of complications associated with peptic ulcer diseases (PUD), regular use of non-steroidal anti-inflammatory drugs (NSAID) and gastric cancer. Here we are report a case of a 70 years old male who presented with severe abdominal pain in epigastric region without any history of use of NSAIDs, peptic ulcer disease and gastric neoplasm. The patient underwent an emergency exploratory laparotomy and gastric perforation was repaired by modified Graham’s repair. The gastric perforation wedge biopsy revealed presence of growth of Candida and its spores and invading pseudo hyphae. Postoperative period was uneventful. He was treated with fluconazole and was discharged from hospital. It is thus necessary, to rule out not only gastric neoplams or ulcer but also opportunistic infection such as Candida infection when upper gastrointestinal perforation is seen in an elderly patient, to significantly reduce the mortality. | A rare case of gastric perforation by Candida albicans: A case report