抄録
Sixty four years old, male patient was diagnosed as pulmonary aspergillosis on the basis of a typical fungus ball shadow which was found on his chest X-ray film. The patient died of sudden hemoptysis which occured during the time when he was under the schedule of surgical treatment.
Autopsy revealed the existence of pulmonary aspergillosis lesions in both the upper and lower lobes of the left lung. In the upper lobe, a cavity containing a fungus ball was detected. In the lower lobe, another lesion was found locating close to the thoracic aorta, and the wall of the aorta was destroyed by the invasive change of the lesion into the aorta. The death resulted from the massive bleeding from the aorta into the thoracic cavity and to the lung.
From the histological finding, these two lension were considered to be binary. No reports have ever been presented on the pulmonary aspergillosis which gives rise to a rupture into the aorta. When considering surgical indication for aspergillosis, therefore, it is necessary to take account of the fact that there actually existed such a case.
