Clinical Image

Aspergillus Fumigatus Fungus Ball in the Transplanted Lung after Single Lung Transplantation: Treatment with Cavernostomy and Withdrawal of the Mycetoma

Necati Çitak1*, Özgür İşgörücü1, Yunus Aksoy1, Songül Büyükkale2 and Adnan Sayar2
1Department of Thoracic Surgery and Lung Transplantation, Bakırköy Dr. Sadi Konuk Education and Research Hospital, Turkey
2Şişli Memorial Hospital, Turkey


*Corresponding author: Necati Citak, Department of Thoracic Surgery and Lung Transplantation, Bakırköy Dr. Sadi Konuk Education and Research Hospital, İstanbul, Turkey


Published: 20 Dec, 2017
Cite this article as: Çitak N, İşgörücü Ö, Aksoy Y, Büyükkale S, Sayar A. Aspergillus Fumigatus Fungus Ball in the Transplanted Lung after Single Lung Transplantation: Treatment with Cavernostomy and Withdrawal of the Mycetoma. Clin Surg. 2017; 2: 1837.

Keywords

Pulmonary aspergilloma; Transplantation, Cavernostomy

Clinical Image

A 52-year-old man underwent left-lung transplantation due to pulmonary emphysema. Six months later, chest X-ray and computed tomography revealed a fungus ball in the transplantedlung (Figure 1). We performed cavernostomy and withdrawal of the mycetoma (Figure 2). The cavity washed with amphotericin B for a week. There was no recurrence twelve weeks later.

Figure 1

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Figure 1
(A) A fungus ball in the transplanted lung, (B) Computed tomography section, (C) Cavitary lung lesion in the transplanted lung filled with an opacity resembling a fungus ball.

Figure 2

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Figure 2
(A) Cavernostomy and withdrawal of the mycetoma (Intra operative view) (B) Fungus ball, (C) Control tomography image twelve weeks later.