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Transmural defects of the upper gastrointestinal (UGI) tract can be either leaks, perforations or fistulae. Endoscopic vac is a good option for management for localized leaks where stent placement is not feasible. We present a case of a 31-year-old lady who was operated for strangulated Bochdalek hernia with partial gastrectomy with esophago-gastric anastomosis. She then underwent 2 sittings of endo vac placement for management of an anastomotic leak with mediastinitis. She was followed up on outpatient basis with imaging and interval endoscopies. Post 6 months of the procedure, patient is well and is on full oral feeds.

This study introduces, Paradictyocheirospora, a new genus, belonging to the family Dictyosporiaceae with evidence from morphology and phylogenetic analysis of a combined ITS, LSU and TEF1α sequence data. Paradictyocheirospora can be distinguished from allied taxa based on dictyosporous, cheiroid conidia with suprabasal bubble-like hyaline appendages and cylindrical, reduced conidiophores. The new genus is similar to Dictyocheirospora; however, the conidia are smaller with fewer rows (3–6) and have globose, supra-basal appendages. Paradictyocheirospora tectonae forms a distinct lineage basal to Digitodesmium and Dictyocheirospora. Additional new collections from Thane, Maharashtra were morphologically identical and phylogenetically related to Dictyocheirospora nabanheensis, and the latter is a new record from India.