Clin Endosc.  2023 Mar;56(2):258-260. 10.5946/ce.2022.203.

Chronic non-healing gastric ulcer in a patient with poorly controlled diabetes mellitus

• Kosasih S
• Telisinghe PU
• Lim KC
• Metussin A
• Asli R
• Chong VH

• KMID: 2540746
• DOI: http://doi.org/10.5946/ce.2022.203

Figure

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  Fig. 1. Axial (A) and coronal (B) contrast-enhanced computed tomography images show diffuse thickening of the stomach wall, mainly of the submucosal layer along the lesser curvature (arrowheads), with reactive peri-gastric adenopathy (arrows).

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  Fig. 2. Endoscopic findings. An incisura showing edematous mucosa with a deep penetrating ulcer with narrowing of the gastric lumen (A), and mild erosions in the otherwise normal antrum (B).

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  Fig. 3. (A) Hematoxylin and eosin stain of gastric biopsy showing fungal hyphae amongst necrotic tissues (×200). (B) Grocott methenamine silver stain showing the fungal hyphae more clearly (×200).

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