J Korean Ophthalmol Soc.  2006 Sep;47(9):1481-1485.

A Case of Fungall Ball after External Dacryocystorhinostomy

• Lim JW
• Suh JW
• Lee SJ

Abstract

PURPOSE: We report a case of fungal ball after dacryocystorhinostomy in a 72-year-old female patient.
METHODS
A 72-year-old female patient was admitted to our hospital for a tearing on the right eye and underwent external dacryocystorhinostomy. The patient revisited our clinic with a mass originating from her mouth several hours after surgery. The mass was irregularly shaped, brownish, and fragile with a foul odor. An aspergillosis fungal ball was diagnosed pathologically.
RESULTS
Postoperative PNS CT showed no residual fungall ball. During 9 months of follow-up, the patient showed good nasolacrimal duct passage. There was no evidence of fungal infection on nasal endoscopic finding.
CONCLUSIONS
To our knowledge, this is the first report of a fungal ball spontaneously occurring after dacryocystorhinostomy. Although this scarcely develops, it should be included in the differential diagnosis of a mass after dacryocystorhinostomy.

Keyword

Dacryocystorhinostomy; Fungall ball; Mass

MeSH Terms

Aged
Aspergillosis
Dacryocystorhinostomy*
Diagnosis, Differential
Female
Follow-Up Studies
Humans
Mouth
Nasolacrimal Duct
Odors