Gastric perforation due to Candida albicans is an extremely rare occurrence, typically associated with
immunocompromised individuals. We report the case of a 23-year-old previously healthy male who
presented with symptoms of acute abdomen. Radiological imaging confirmed visceral perforation, and
emergency laparotomy revealed a 3 cm gastric perforation at the antrum. Histopathological analysis of
the biopsy confirmed Candida albicans as the causative agent. The patient underwent successful surgical
repair with a modified Graham’s patch and antifungal therapy. This case highlights the importance of
considering fungal etiology even in immunocompetent individuals presenting with gastric perforation.
