Korean Journal of Medicine  2006;70(2):221-225

A case of endobronchial aspergilloma in patient with collapse of right middle lobe.

Woo Youn EOM 1 ; Nam In KIM ; Soo Woong KIM ; Byoung Hoon LEE ; Sang Hoon KIM ; Young Soo AHN ; Man Sil PARK

Affiliations

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Keywords

Aspergillosis; Bronchoscopy; Immunocompetence; Hemoptysis

Country

Republic of Korea

Language

Korean

Abstract

Pulmonary aspergilloma usually results from the ingrowths of the colonized Aspergillus in the damaged bronchial tree, pulmonary cyst or cavities of patients with underlying lung diseases. We experienced a case of endobronchial aspergilloma developed in a healthy female patient with asymptomatic collapse of right middle lobe (RML). She visited our clinic with intermittent hemoptysis for one year. The chest X-ray and HRCT showed severe collapse of the RML and multiple calcifications of peribronchial nodes around the proximal part of RML bronchus. Bronchoscopy revealed an aspergilloma in theorifice of the lateral segmental bronchus of RML. Patient had undergone RML and right lower lobe resection because of recurrent hemoptysis in spite of medical therapy. After surgery patient's symptoms were relieved. We present this unusual case with a review of the literature.