Periampullary Mass as an Unusual Manifestation of Coccidioidomycosis. Case Report and Literature Review

Authors

DOI:

https://doi.org/10.22516/25007440.965

Keywords:

Coccidioides, Colombia, Disseminated mycosis, icteric syndrome, Systemic mycosis, Periampullary neoplasm

Abstract

In Colombia, coccidioidomycosis is a rare entity, and the intestinal manifestation is infrequent, with around a dozen cases reported in the world literature. This article reports the case of a 29-year-old male Venezuelan immigrant with a 4-month history of abdominal pain, jaundice, nausea, and vomiting. The tomography and the endoscopic study revealed a circumferential exophytic mass in the second portion of the duodenum. The biopsy revealed multiple spherules filled with round fungal endospores with a final diagnosis of disseminated coccidioidomycosis. The patient was discharged before the final pathology report with fluconazole doses of 200 mg every other day and an order for outpatient magnetic resonance cholangiography for outpatient follow-up, which he has not attended.

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Author Biographies

Jhoan Sebastian Cruz Barbosa, Universidad del Valle

Médico y cirujano. Residente de Anatomía Patológica y Patología Clínica, Hospital Universitario del Valle. Cali, Colombia.

Andrés Felipe Valencia Cardona, Universidad del Valle

Médico, Epidemiologo. Residente de anatomía y patológia segundo año, Hospital Universitario del Valle. Cali, Valle del Cauca, Colombia.

Armando Daniel Cortés Buelvas, Universidad del Valle

Médico Especialista en Anatomía Patológica y Laboratorio Clínic. Jefe del departamento de patología, Hospital Universitario del Valle. Cali, Colombia.

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Figure 1. Simple and contrast-enhanced abdominal CT scan: dilation of the intra- and extrahepatic bile duct with a 14-millimeter common bile duct, the pancreas with slight dilation of the Wirsung duct, and loss of contours at the level of the head.

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Published

2023-09-27

How to Cite

Cruz Barbosa, J. S., Valencia Cardona, A. F., & Cortés Buelvas, A. D. (2023). Periampullary Mass as an Unusual Manifestation of Coccidioidomycosis. Case Report and Literature Review. Revista Colombiana De Gastroenterología, 38(3), 373–377. https://doi.org/10.22516/25007440.965

Issue

Vol. 38 No. 3 (2023): July - September

Section

Case report

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