Urogenit Tract Infect.  2016 Dec;11(3):118-120. 10.14777/uti.2016.11.3.118.

Ureteral Obstruction Caused by Aspergilloma in a Non-Immunosuppressive Patient

• Chang JB
• Song PH
• Choi JY

• KMID: 2366149
• DOI: http://doi.org/10.14777/uti.2016.11.3.118

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.

Keyword

Aspergillosis; Ureteral obstruction; Ureteroscopy

MeSH Terms

Aged
Aspergillosis
Bezoars
Humans
Ureter*
Ureteral Obstruction*
Ureteroscopy

Figure

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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).

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  Fig. 2. Whitish ureteral fungal ball on ureteroscopic examination.

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  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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