Open Access

CASE REPORT

Primary renal aspergilloma: a challenge to endure—a case report

Sarbjit Mohapatra^1,*, Nandkumar Madhekar², Sameer Ratkal³, Jaideep Ratkal¹

1 Karnataka Medical College and Research Institute, Rajiv Gandhi University of Health Sciences, Hubli, 580022, India
2 KIMS-SUNSHINE, Sunshine Hospital, Begumpet, Hyderabad, 5000016, India
3 Krishna Vishwa Vidyapeeth, Krishna Institute of Medical Science, Karad, 415539, India

* Corresponding Author: Sarbjit Mohapatra. Email:

Canadian Journal of Urology 2025, 32(5), 509-513. https://doi.org/10.32604/cju.2025.063783

Received 23 January 2025; Accepted 11 June 2025; Issue published 30 October 2025

Abstract

Background: Isolated renal aspergilloma is a rare medical entity posing difficult diagnostic and treatment challenges. Case Description: We document a case of Primary Renal Aspergilloma in a 55-year-old male with diabetes mellitus, hypertension, and chronic liver disease. The individual presented with features of obstructive uropathy due to fungal balls requiring retrograde endoscopic intervention and drainage. The cheesy material retrieved during the procedure was identified as an Aspergilloma on histopathology. Due to far and fewer reports in the medical literature, there have been no standard diagnostic & management strategies, which in turn has resulted in unacceptably high mortality. Conclusion: Isolated renal aspergilloma is an uncommon medical condition with intricate diagnostic and treatment pathways. Due to the rarity of the disease, there is no established protocol for the treatment of renal aspergillomas. Further research is necessary to improve diagnostics, optimize treatments, and enhance clinician awareness for early detection and management.

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Keywords

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