Surgical treatment of pulmonary aspergilloma-associated hemoptysis
General Medicine, 2023, 25(4), 56-60
M. Alexieva1, E. Mekov2, S. Yankova5, V. Gegouskov3,4, G. Yankov1
1 Thoracic Surgery Department, UMHAT “Sv. Ivan Rilski”, Medical University ‒ Sofia
2 Department of Pulmonary Diseases, UMHAT “Sv. Ivan Rilski”, Medical Faculty, Medical University ‒ Sofia
3 Department of Cardiosurgery, UMHAT “Sv. Anna” ‒ Sofia
4 Medical University ‒ Pleven
5 Department of Pediatrics, SHATCD “Prof. Ivan Mitev”, Medical University ‒ Sofia
Abstract. Pulmonary aspergillosis is a mycosis that has 3 forms: allergic broncho-pulmonary aspergillosis, chronic pulmonary aspergillosis, and invasive aspergillosis. Pulmonary aspergilloma is a rare pathology that sometimes causes life-threatening hemoptysis. Surgery remains the gold standard in the definitive treatment of aspergilloma-induced hemoptysis with acceptable postoperative morbidity and mortality. We present a case of а 56-year-old man with complaints of intermittent but not abundant hemoptysis. Operative treatment was performed – resection of the culmen, and the final pathological result was a chronic necrotizing aspergilloma. As a postoperative complication, the patient developed a seroma in the region of the postthoracotomy wound, necessitating debridement, and secondary suturing.
Key words: pulmonary aspergilloma, hemoptysis, surgery, complications
Address for correspondence: Assoc. prof. Evgeni Mekov, PhD, е-mail: evgeni.mekov@gmail.com