M.A.S, female, 55 years old, accountant, complaining of pain in weight in the region of the left maxillary sinus and nasal obstruction for about three months, associated with persistent cough and nasal discharge mucoid, no fever. It was reported that symptoms began after part of IVAS. He was treated with use of levofloxacin for 14 days after clarithromycin for 21 days and oral corticosteroids with partial improvement of the condition. She is hypertensive and take enalapril 10 mg twice daily and a history of seasonal rhinitis. To the Otolaryngological physical examination showed otoscopy and oroscopy unchanged; rhinoscopy with hypertrophy of the inferior turbinate mucosa with congested with thick secretion. It was prompted computed tomography of the paranasal sinuses and nasal endoscopy. His Computerized Tomography showed tissue soft tissue density in the left maxillary sinus with amorphous calcification in between, and his nasal endoscopy showed hyperemia and congestion of the nasal mucous with bilateral inferior turbinate hypertrophy and obstruction of the ostiomeatal complex by mucosal thickening. Held by sinusotomy left maxillary Cadwell-Luc, bilateral turbinectomy and clearing the meatal ostium complex was removed material aspect dense thick greenish color, which was submitted for histological examination and the report showed the presence of fungal structures in between rounded and pigmented.