Abstract
Invasive pulmonary aspergillosis (IPA) is a less frequent form and rarely has been reported in normal immune system cases. They do not constitute radiologically cystic structures. A 53-year-old male who was engaged in stock farming and agriculture has no additional disease or habit in the patient history that would compromise the immune system. In thorax computed tomography, a 11x8x10 cm diaphragmatic invasive cystic lesion was seen in the middle and lower lobes of the right lung, was reported that there may be hydatid cyst. The patient underwent right lower bilobectomy and diaphragm resection, diaphragm was reconstructed with a dual mesh. Histopathologic diagnosis was reported as invasive pulmonary aspergillosis. There was no complication or recurrence in the case in the 24-month follow-up period. Thus, a cure was provided for our patient with invasive pulmonary aspergillosis, which was coincidentally diagnosed by pathology in the postoperative period.
Highlights
Aspergillus is a fungus commonly found in nature
Aspergilloma can lead to different clinical manifestations such as chronic necrotizing aspergillosis, invasive pulmonary aspergillosis, allergic bronchopulmonary aspergillosis
Anatomic resection was preferred to parenchymal preserving surgery since cyst is observed in more than 50% of the hydatid lobe, diaphragm reconstruction was performed with right lower lobectomy, diaphragmatic resection, and dual mesh
Summary
İsmail Agababaoglu* ,[MD] Hasan Ersöz1 ,[MD] Filiz Banu Çetinkaya Ethemoglu2 ,[MD] Aydın Şanlı3 ,[MD]. Invasive pulmonary aspergillosis is a less frequent form and rarely has been reported in normal immune system cases. They do not constitute radiologically cystic structures. A 11x8x10 cm diaphragmatic invasive cystic lesion was seen in the middle and lower lobes of the right lung, It was reported that there may be hydatid cyst. The patient underwent right lower bilobectomy and diaphragm resection, the diaphragm was reconstructed with a dual mesh. Histopathologic diagnosis was reported as invasive pulmonary aspergillosis. There was no complication or recurrence in the case in the 24-month follow-up period. A cure was provided for our patient with invasive pulmonary aspergillosis, which was coincidentally diagnosed by pathology in the postoperative period. Received: Agust 2019, Accepted: September 2019, Published online: 30 September 2019
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