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Gut. 2007 June; 56(6): 781.
PMCID: PMC1954878

EDITOR'S QUIZ: GI SNAPSHOT

Answer

From the question on page 755

The CT scan showed a 3.4×2.3 cm paracolic mass near to the left kidney without associated lymphadenopathy. The tumour was hypodense with an enhanced wall of the lesion (fig 1).

The histological examination of the CT‐guided biopsy of the lesion demonstrated numerous Aspergillus fumigatus hyphae (H&E ×400; fig 2), which could be cultured on Sabourauds's medium.

Most Aspergillus infections are found in immunosuppressed patients and, typically, involve the lungs. This case documents a highly unusual extrapulmonary aspergilloma without secondary focus. The management is surgical. Our patient had a smooth postoperative course and was symptom free at a follow‐up 5 years after the resection of the aspergilloma.


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