uti Urogenital Tract Infection Urogenit Tract Infect 2465-8243 2465-8510 Korean Association of Urogenital Tract Infection and Inflammation 10.14777/uti.2016.11.03.118 uti-11-118 Case Report Ureteral Obstruction Caused by Aspergilloma in a Non-Immunosuppressive Patient ChangJun Bo SongPhil Hyun ChoiJae Young Department of Urology, Yeungnam University College of Medicine, Daegu, Korea Correspondence to: Jae Young Choi http://orcid.org/0000-0002-3611-3926 Department of Urology, Yeungnam University College of Medicine, 170 Hyeonchung-ro, Nam-gu, Daegu 42415, Korea Tel: +82-53-620-3170, Fax: +82-53-627-5535 E-mail: jy3919@daum.net 012016 19012016 113118 120 27072016 14092016 22092016 Copyright © 2016 Korean Association of Urogenital Tract Infection and Inflammation 2016 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Although rarely, aspergillosis can cause obstructive uropathy. This generally occurs in patients with immunosuppressive conditions. Herein, we report a case of aspergilloma that caused ureteral obstruction in a 79-year-old man with no immunosuppressive conditions. A computed tomography revealed that his left pelvocalyceal system and ureter showed mild dilation, without a definite obstructive lesion. The fungal bezoar was removed using an ureteroscopy. The patient was successfully treated with antifungal medication.

 Aspergillosis Ureteral obstruction Ureteroscopy REFERENCESStevens DA Kan VL Judson MA Morrison VA Dummer S Denning DW Practice guidelines for diseases caused by Aspergillus. Infectious Diseases Society of America Clin Infect Dis 200030 696709 Yoon YK Kang EH In KH Kim MJ Unilateral ureteral obstruction caused by Aspergillus, subgenus Nidulantes in a patient on steroid therapy: a case report and review of the literature Med Mycol 201048 64752 Rao P Aspergillus infection in urinary tract post-ureteric stenting Indian J Med Microbiol 201533 3168 Lee SW An Aspergilloma mistaken for a pelviureteral stone on nonenhanced CT: a fungal bezoar causing ureteral obstruction Korean J Urol 201051 2168 Choi H Kang IS Kim HS Lee YH Seo IY Invasive aspergillosis arising from ureteral aspergilloma Yonsei Med J 201152 8668 el Fakir Y Kabbaj N Dafiri R Imani F Imaging of urinary Candida bezoars Prog Urol 19999 5137 Modi P Goel R Synchronous endoscopic management of bilateral kidney and ureter fungal bezoar Urol Int 200778 3746 Figures

(A, B) Computed tomography of the abdomen showed mild dilation of the left pelvocalyceal system and ureter (arrows). (C, D) Distal ureter showed mild dilatation and revealed no mass or obstructive lesion in both non-contrast and contrast enhanced view (arrows).

Whitish ureteral fungal ball on ureteroscopic examination.

Intravenous pylography 2 months after antifungal agent (voriconazole) showed normal excretion of the pyelocalyceal system from the left kidney and complete relief of hydronephroureterosis.