눈물주머니코안연결술 시행 후 발견된 부비동내 진균구 1예

A Case of Fungall Ball after External Dacryocystorhinostomy

Purpose: We report a case of fungal ball after dacryocystorhinostomy in a 72-year-old female patient. Methods: A 72-year-old female patient was admitted to our hospital for a tearing on the right eye and underwent external dacryocystorhinostomy. The patient revisited our clinic with a mass originating from her mouth several hours after surgery. The mass was irregularly shaped, brownish, and fragile with a foul odor. An aspergillosis fungal ball was diagnosed pathologically. Results: Postoperative PNS CT showed no residual fungall ball. During 9 months of follow-up, the patient showed good nasolacrimal duct passage. There was no evidence of fungal infection on nasal endoscopic finding. Conclusions: To our knowledge, this is the first report of a fungal ball spontaneously occurring after dacryocystorhinostomy. Although this scarcely develops, it should be included in the differential diagnosis of a mass after dacryocystorhinostomy.