One-stage surgical treatment of pulmonary aspergilloma with cavernostomy and muscle transposition flap: a case report.

ABSTRACT

A 47-year-old female with cough and recurrent haemoptysis was admitted to Ratchaburi Hospital. Chest X-ray revealed a fungal ball in RUL. Aspergillus fumigatus was diagnosed by fungus culture from the material of the fungus ball. A one-stage cavernostomy was done and the fungus ball was then removed, obliteration of the cavity with intrathoracic transposition of extrathoracic skeletal muscle (latissimus dorsi) was performed. She recovered well, and haemoptysis disappeared. The body weight increased to 48 kgs in 4 postoperative months. (Fig. 6)