Ureteral Obstruction Caused by Aspergilloma in a Non-Immunosuppressive Patient

Jun Bo Chang; Phil Hyun Song; Jae Young Choi

doi:10.14777/uti.2016.11.03.118

Journal List > Urogenit Tract Infect > v.11(3) > 1084194

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Chang, Song, and Choi: Ureteral Obstruction Caused by Aspergilloma in a Non-Immunosuppressive Patient

Case Report

Urogenit Tract Infect 2016;11(3):118-120.

Published online: 19 January 2016

DOI: https://doi.org/10.14777/uti.2016.11.03.118

Ureteral Obstruction Caused by Aspergilloma in a Non-Immunosuppressive Patient

Jun Bo Chang, Phil Hyun Song, Jae Young Choi

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

Received 27 July 2016 Revised 14 September 2016 Accepted 22 September 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.

Abstract

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.

Keywords: Aspergillosis, Ureteral obstruction, Ureteroscopy

REFERENCES

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Fig. 1.

(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).

Fig. 2.

Whitish ureteral fungal ball on ureteroscopic examination.

Fig. 3.

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

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