Abdominal aspergillosis: CT findings

Suk Keu Yeom, Hye Jin Kim, Jae Ho Byun, Ah Young Kim, Moon Gyu Lee, Hyun Kwon Ha

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Objective: In order to retrospectively evaluate the CT findings of abdominal aspergillosis in immunocompromised patients. Materials and methods: CT scans were reviewed with regard to the sites, number, morphologic appearance, attenuation, and the contrast enhancement patterns of the lesions in six patients (5 women, 1 man; mean age, 43.4 years; range, 23-59 years) with pathologically proved abdominal aspergillosis by two gastrointestinal radiologists in consensus. Medical records were also reviewed to determine each patient's clinical status and outcome. Results: All patients were immunocompromised state: 4 patients received immunosuppressive therapy for solid organ transplantation and 2 patients received chemotherapy for acute myeloid leukemia. Aspergillosis involved blood vessels (n = 3), liver (n = 2), spleen (n = 2), gastrointestinal tract (n = 2), native kidney (n = 1), transplanted kidney (n = 1), peritoneum (n = 1), and retroperitoneum (n = 1). CT demonstrated solid organ or bowel infarction or perforation secondary to vascular thrombosis or pseudoaneurysm, multiple low-attenuating lesions of solid organs presenting as abscesses, concentric bowel wall thickening mimicking typhlitis, or diffuse or nodular infiltration of the peritoneum and retroperitoneum. Conclusion: Familiarity with findings commonly presenting as angioinvasive features or abscesses on CT, may facilitate the diagnosis of rare and fatal abdominal aspergillosis.

Original languageEnglish
Pages (from-to)478-482
Number of pages5
JournalEuropean Journal of Radiology
Volume77
Issue number3
DOIs
Publication statusPublished - 2011 Mar 1

Keywords

  • Abdomen
  • Aspergillosis
  • CT

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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  • Cite this

    Yeom, S. K., Kim, H. J., Byun, J. H., Kim, A. Y., Lee, M. G., & Ha, H. K. (2011). Abdominal aspergillosis: CT findings. European Journal of Radiology, 77(3), 478-482. https://doi.org/10.1016/j.ejrad.2009.08.016