Department of Otolaryngology-Head and Neck Surgery, 65377Chonbuk National University, Jeonju, South Korea.
Research Institute of Clinical Medicine, 65377Chonbuk National University and Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Republic of Korea.
Ear Nose Throat J. 2021 Mar;100(3):NP169-NP170. doi: 10.1177/0145561319867669. Epub 2019 Sep 25.
A 51-year-old woman with headache was referred to our hospital. She had a history of endonasal pituitary surgery 22 years prior and hypertension 10 years prior. The endonasal transsphenoidal pituitary approach was performed via microscopic transseptal approach. Nasal endoscopy revealed whitish cystic wall protruded from the right sphenoid sinus. Functional endoscopic sinus surgery was performed under general anesthesia. After incision of the right sphenoid ostium, yellowish mucoid discharge in the right sphenoid sinus was pushed out from the sphenoid sinus. Histopathology confirmed fungal ball in the sphenoid sinus, which is consistent with aspergillosis sinus. The presence of fungal ball and mucocele are rarely reported, but mucocele and fungal ball found after pituitary surgery are the first and therefore unique in this case.
一位 51 岁头痛女性患者被转至我院。患者 22 年前有经鼻垂体手术史，10 年前有高血压病史。采用经鼻蝶窦显微镜经鼻中隔入路进行了经鼻内镜垂体手术。鼻内镜检查显示从右侧蝶窦突入白色囊性壁。在全身麻醉下进行了功能性内镜鼻窦手术。右侧蝶窦口切开后，从蝶窦内挤出右侧蝶窦内的黄色粘脓性分泌物。组织病理学证实蝶窦内有真菌球，符合曲霉菌窦炎。真菌球和黏液囊肿的存在很少见，但在垂体手术后发现黏液囊肿和真菌球是首例，因此在本例中是独特的。
