An unusual location for a fungus ball: the concha bullosa.
OBJECTIVE
We report an unusual case of a fungus ball in the concha bullosa, without involvement of the paranasal sinuses.


METHODS
A 29-year-old woman presented complaining of nasal obstruction and postnasal discharge. Paranasal computed tomography demonstrated that the concha bullosa in the right middle turbinate was filled with a high-density material. The patient underwent endoscopic resection of the concha bullosa, during which a dark brown, cheese-like material was found. Histopathological examination of the excised specimen revealed a fungus ball.


CONCLUSIONS
Fungus balls are non-invasive accumulations of dense fungal concretions that generally affect healthy individuals. In the sinonasal region, they occur most frequently in the maxillary sinus. Although fungus ball formation in the concha bullosa is unusual, it should be considered in the differential diagnoses of middle turbinate and sinonasal pathology.
Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey.
E
E
Ciger
U
U
Demiray
K
K
Onal
M
M
Songu
D000328:Adult; D001228:Aspergillosis / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004724:Endoscopy; D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging*; D006801:Humans; D015508:Nasal Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology; D009668:Nose Diseases / Q000150:complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D014420:Turbinates / Q000000981:diagnostic imaging*