primary gastrointestinal aspergillosis presenting as multiple ulcerated colonic masses: a case report

gastrointestinal aspergillosis most often occurs in the setting of disseminated infection from a primary pulmonary site and primary gastrointestinal aspergillosis is an unusual presentation. we report a 7 year old female child with aplastic anemia, who was under treatment but experienced periods of neutropenia. she had no evidence of respiratory aspergillosis before the onset of abdominal symptoms including severe abdominal pain and rectorrhagia.the patient died of septic shock two weeks after emergency surgery for rectal bleeding. although a rare condition, primary gastrointestinal aspergillosis should be considered in differential diagnosis of gastrointestinal symptoms in neutropenic patients.