| Fungus ball within a mucocele of the sphenoid sinus and infratemporal fossa: case report with radiological findings. | |
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MedLine Citation:
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PMID: 21910954 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Objective:We report an extremely rare case of a fungus ball within a mucocele of the sphenoid sinus and infratemporal fossa.Case report:A 62-year-old woman was referred for evaluation of a mass lesion in the left sphenoid sinus and infratemporal fossa. Endoscopic examination of the nasal cavity was unremarkable. Computed tomography showed a non-enhancing, expansile mass with calcifications in the sphenoid and infratemporal fossa; T2-weighted magnetic resonance imaging revealed marked hypointense signals within the sphenoid sinus mass, with an intermediate signal intensity. A presumptive diagnosis of a mucocele was made. During surgery, a profuse amount of yellow fluid was drained from the mucocele. Clay-like material was noted within the mucocele, corresponding to the hypointense magnetic resonance imaging signals; this was identified as aspergillus on histopathological examination. Radiological findings for a fungus ball within a mucocele can be similar to those for allergic fungal sinusitis, which shows mixed low and high attenuation on computed tomography and low-signal intensity on T2-weighted magnetic resonance imaging, within an expansile, cystic lesion.Conclusion:Although an association between a fungus ball and a mucocele is rare in the paranasal sinuses, this disease entity should be considered in the differential diagnosis of expansile, cystic sinus lesions. |
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Authors:
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D H Lee; S K Kim; Y E Joo; S C Lim |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-9-13 |
Journal Detail:
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Title: The Journal of laryngology and otology Volume: - ISSN: 1748-5460 ISO Abbreviation: - Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-9-13 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8706896 Medline TA: J Laryngol Otol Country: - |
Other Details:
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Languages: ENG Pagination: 1-4 Citation Subset: - |
Affiliation:
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Department of Otolaryngology-Head and Neck Surgery, Research Institute of Medical Sciences, Chonnam National University Medical School and Chonnam National University Hwasun Hospital, Jeonnam, South Korea. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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