Phaeohyphomycosis is a chronic, progressive cutaneous and subcutaneous infection caused by melanised or dermaticeous fungi and characterized by the presence of brown mycelial structures on fine needle aspiration cytology. These fungi are associated with rural population, involved in various agricultural and outdoor activities. The clinical manifestations that includes superficial and deep local infection to disseminated infection. Herein, we describe the clinical and fine-needle aspiration cytology features of a case of phaeohyphomycosis caused by Phialophora verrucosa.
Superior Mesenteric Artery (SMA) syndrome is an upper gastrointestinal disorder caused by the compression of the third part of the duodenum between Aorta and Superior mesenteric artery. SMA syndrome is a rare pathology with an incidence that ranges between 0.013 and 0.3%. It's a rare cause of duodenal obstruction which may be complete or partial but is a life-threatening disorder as it poses a diagnostic dilemma. A patient was admitted in the emergency with complaints of subacute intestinal obstruction along with peritonitis. He underwent exploratory laparotomy along with surgical resection of gangrenous segment. Histopathological examination showed gangrenous bowel, however, no specific cause could be identified. CT findings were reviewed for a possible compression/ obstruction aetiology. It revealed features suggestive of superior mesenteric artery syndrome.
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