A case of productive aspergilloma on the inner wall of a cavity associated with a pneumothorax

Abstract

A 43-year-old male was admitted to hospital because of repeated episodes of right pneumothorax. Chest CT showed a cystic lesion of the right upper lobe without a mass in the cavity. Therefore, video-assisted thoracic surgery was performed. On histopathology, the resected cystic lesion showed wall thickening. Aspergillus hyphae were detected in the necrotic wall tissue. A healthy individual wituout an underlying disease may develop pulmonary aspergillosis. It is necessary to consider the possibility of productive aspergilloma on the inner wall of a cavity (PAIC), even in cases without a fungus ball.