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
Externally publishedYes

Fingerprint

Aspergillosis
Peritoneum
Immunocompromised Host
Abscess
Blood Vessels
Typhlitis
Kidney
False Aneurysm
Organ Transplantation
Immunosuppressive Agents
Acute Myeloid Leukemia
Infarction
Medical Records
Gastrointestinal Tract
Consensus
Thrombosis
Spleen
Drug Therapy
Liver
Therapeutics

Keywords

  • Abdomen
  • Aspergillosis
  • CT

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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

Abdominal aspergillosis : CT findings. / Yeom, Suk Keu; Kim, Hye Jin; Byun, Jae Ho; Kim, Ah Young; Lee, Moon Gyu; Ha, Hyun Kwon.

In: European Journal of Radiology, Vol. 77, No. 3, 01.03.2011, p. 478-482.

Research output: Contribution to journalArticle

Yeom, SK, Kim, HJ, Byun, JH, Kim, AY, Lee, MG & Ha, HK 2011, 'Abdominal aspergillosis: CT findings', European Journal of Radiology, vol. 77, no. 3, pp. 478-482. https://doi.org/10.1016/j.ejrad.2009.08.016
Yeom, Suk Keu ; Kim, Hye Jin ; Byun, Jae Ho ; Kim, Ah Young ; Lee, Moon Gyu ; Ha, Hyun Kwon. / Abdominal aspergillosis : CT findings. In: European Journal of Radiology. 2011 ; Vol. 77, No. 3. pp. 478-482.
@article{04650e7e3c114b5abd9c9759f3b4ca60,
title = "Abdominal aspergillosis: CT findings",
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.",
keywords = "Abdomen, Aspergillosis, CT",
author = "Yeom, {Suk Keu} and Kim, {Hye Jin} and Byun, {Jae Ho} and Kim, {Ah Young} and Lee, {Moon Gyu} and Ha, {Hyun Kwon}",
year = "2011",
month = "3",
day = "1",
doi = "10.1016/j.ejrad.2009.08.016",
language = "English",
volume = "77",
pages = "478--482",
journal = "European Journal of Radiology",
issn = "0720-048X",
publisher = "Elsevier Ireland Ltd",
number = "3",

}

TY - JOUR

T1 - Abdominal aspergillosis

T2 - CT findings

AU - Yeom, Suk Keu

AU - Kim, Hye Jin

AU - Byun, Jae Ho

AU - Kim, Ah Young

AU - Lee, Moon Gyu

AU - Ha, Hyun Kwon

PY - 2011/3/1

Y1 - 2011/3/1

N2 - 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.

AB - 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.

KW - Abdomen

KW - Aspergillosis

KW - CT

UR - http://www.scopus.com/inward/record.url?scp=79952993978&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79952993978&partnerID=8YFLogxK

U2 - 10.1016/j.ejrad.2009.08.016

DO - 10.1016/j.ejrad.2009.08.016

M3 - Article

VL - 77

SP - 478

EP - 482

JO - European Journal of Radiology

JF - European Journal of Radiology

SN - 0720-048X

IS - 3

ER -