Fatal gastrointestinal histoplasmosis 15 years after orthotopic liver transplantation

Figure 1 Axial image from computed tomography Chest/Abdomen/Pelvis performed with intravenous (IV) and oral contrast showing non-specific colonic wall thickening in the ascending colon (arrowed) and hepatic flexure characterised by discontinuous mucosal hyperenhancement and submucosal oedema reflecting ulceration and inflammation.

Figure 2 Extensive infiltration of bowel mucosa by the small histoplasmosis, Grocott stain.