PMC10171983_01
Pelvic CT images (axial (a), coronal (b), and sagittal sections (c)) showing an amorphous dense oval mass in the bladder.
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fig1
In September of the current year, a CT was performed, revealing an amorphous image with calcium density and local obstruction in the left kidney, with fluid infiltration in the left perineal space, besides the identification of a dense oval mass in the bladder, as seen in Figure 1.
Vesical mass: (a) haematoxylin and eosin stain (H&E), 10x. Vesical mass sections showing clear eosinophilic amorphous material and some structures suggestive of hyphae (b) periodic acid-schiff (PAS) stain, 40x. Fungal septate hyphae with dichotomous branching, suggesting Aspergillus species. (c) grocott's methenamine silver stain, 40x.
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fig2
Aspergillus infection was suspected and a specific culture was requested, like histopathological analysis identified Aspergillus. According to Figure 2.