A rare disease mimics postoperative bile leakage: Invasive aspergillosis

Aspergillus fungi can cause serious infections, including intra-abdominal infection, particularly in patients with compromised immune system. Described in the present report is case of 46-year-old female patient who had undergone laparoscopic cholecystectomy (LC) at another healthcare facility. In early postoperative period, she had increasing complaints of swelling, nausea, and vomiting. On postoperative 19th day, she was referred to our clinic with diagnosis of acute abdomen. Surgery was performed with suspected possibility of bile leakage. However, pathological examination of soft, yellow-green mass found in subhepatic space determined it was fungus ball caused by fungi of the genus Aspergillus. Patient was diagnosed postoperative intra-abdominal aspergillosis (IAA).

Ameliyat sonrasý safra kaçaðýný taklit eden nadir bir hastalýk: Ýnvaziv aspergillozis

Özellikle baðýþýklýk sisteminde sorun olan hastalarda ciddi enfeksiyonlara neden olan Aspergillus ailesi nadiren karýniçi enfeksiyonlara da neden olabilmektedir. Dýþ merkezde laparoskopik kolesistektomi ameliyatý olan ve ameliyat sonrasý erken dönemde baþlayarak, giderek artan þiþkinlik, bulantý ve kusma þikayetleri olan hasta ameliyat sonrasý 19. günde akut karýn tanýsý ile kliniðimize sevk edildi. Hasta, safra kaçaðý düþünülerek ameliyat edildi, ancak eksplorasyonda suphepatik alanda bulunan sarý-yeþil renkte yumuþak kitlenin patolojik incelemesinde aspergilloz enfeksiyonuna baðlý fungus topu olduðu anlaþýldý. Ameliyat sonrasý karýn içi aspergillus tanýsý alan 46 yaþýndaki kadýn hasta literatür eþliðinde sunuldu.