Radiological aspect of fungus ball within a mucocele of the sphenoid sinus

• Published in: JBR-BTR : organe de la Societe royale belge de radiologie (SRBR) = orgaan van de Koninklijke Belgische Vereniging voor Radiologie (KBVR) Vol. 96; no. 6; pp. 372 - 374
• Main Authors: Inci, M F, Ozkan, F, Aksoy, A, Kelleş, M
• Format: Journal Article
• Language: English
• Published: Belgium Ubiquity Press 01.11.2013
• Subjects: computed tomography; Diagnosis, Differential; Follow-Up Studies; Foreign Bodies - diagnostic imaging; Foreign Bodies - pathology; Foreign Bodies - surgery; Fungi; Fungus ball; Humans; Magnetic Resonance Imaging - methods; Male; Middle Aged; mucocele; Mucocele - diagnostic imaging; Mucocele - pathology; Mucocele - surgery; Mycoses - diagnostic imaging; sphenoid sinus; Sphenoid Sinus - diagnostic imaging; Sphenoid Sinus - pathology; Sphenoid Sinus - surgery; Tomography, X-Ray Computed - methods
• ISSN: 0302-7430; 2514-8281
• DOI: 10.5334/jbr-btr.465

Paranasal sinus fungus ball is within the non-invasive forms and is characterized by the presence of aggregated hyphae that do not invade the sinus mucosa. Mucoceles are benign, expansile, cyst-like lesions of the paranasal sinuses. The mucoid secretions of mucoceles are usually sterile. However, secondary infections, mostly bacterial, may lead to the development of pyocoeles. Although an association between a fungus ball and a mucocele is rare in the paranasal sinuses, this disease entity should be considered in the differential diagnosis of expansile, cystic sinus lesions. In this article, clinical and radiological findings of a 61-year-old male patient with isolated sphenoid sinus fungus ball within a mucocele presented with headache and periorbital pain were discussed with recent literature.