Virchowdescribed the pathology of human
aspergillosisin 1856. Hinson and colleagues classified
pulmonary aspergillosis into allergic, invasive, and
saprophytic infections. Saprophytic type colonized in
pre-existing lung cavity and produceda fungus ball, or
aspergilloma. (4)
Pulmonary aspergilloma (fungus ball or
Mycetoma) is rare pulmonary infectious disease. Its
clinical manifestation includes; chronic cough, fever,
dyspnea, chest pain, hemoptysis and others, but it may
be asymptomatic. (1)It is a potentially life-threatening
disease that is difficult to treat without surgical
intervention, which is the treatment of choicein selected
cases. It does not respond to antifungal agents
alone.(5)In cases of high surgical morbidity and
mortality, alternative the rapiesare needed.(3)Bronchial
artery embolization can be used to treat massive
hemoptysis but is rarely completely effective due to the
existence of massive collateral blood vessels.(5)
Keywords : Aspergilloma, Fungus ball, Cavitary.