Kronik Konstipasyonun Nadir bir Komplikasyonu: Lipoid Pn�moni

Duman, Berna; �zt�rk, Ali Vefa; Coban, Ipek; Cosgun, Tugba; Toker, Alper; Dalar, Levent

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Kronik Konstipasyonun Nadir bir Komplikasyonu: Lipoid Pn�moni [Respir Case Rep]

Respir Case Rep. 2019; 8(3): 99-102 | DOI: 10.5505/respircase.2019.40326

Kronik Konstipasyonun Nadir bir Komplikasyonu: Lipoid Pn�moni

Berna Duman¹, Ali Vefa �zt�rk¹, Ipek Coban², Tugba Cosgun³, Alper Toker³, Levent Dalar³
¹�stanbul Bilim �niversitesi G��s Hastal�klar� Anabilim Dal�
²�stanbul Bilim �niversitesi Patoloji Anabilim Dal�
³�stanbul Bilim �niversitesi G��s Cerrahisi Anabilim Dal�

Lipoid pn�moni nadir g�r�l�r. �zellikle ya�l�larda kronik konstipasyon amac� ile kullan�lan mineral ya�larda aspirasyon riski vard�r. Burada zeytinya�� aspirasyonu sonucu geli�en lipoid pn�moni olgusu anlat�lmaktad�r.Yetmi� ya��nda erkek hasta iki ayd�r devam eden �ks�r�k, balgam �ikayetleri ile ba�vurdu.Toraks BT�de sa� akci�er alt lob posterior segmentte ve sa� orta lobda yayg�n buzlu cam dansiteleri saptand�.Nonspesifik antibiyoterapiden bir ay sonra �ekilen Toraks BT�de orta lobda bulgular�n sebat etti�i g�r�ld�. Sa� orta lobdan bronkoalveolar lavaj yap�ld�. ARB, nonspesifik k�lt�r, mantar ve sitoloji incelemeleri tan�ya ula�t�rmad�. Yeni toraks BT�de sa� orta lobda vol�m kayb�n�n geli�ti�i g�r�ld�. Tan� ve tedavi ama�l� sa� orta lobektomi yap�ld�. Patolojik incelemesi lipoid pn�moni ile uyumlu bulundu. Tekrar sorguland��nda kronik konstipasyonu i�in herg�n sekiz yemek ka�� zeytinya�� i�ti�i ��renildi. Buzlu cam infiltrasyonu olan olgularda lipoid pn�moni ak�lda bulundurulmal�d�r. �zellikle �ocuklarda, ya�l�larda, refl�, yutma g��l�� veya n�rolojik hastal�� olan ki�ilerde laksatif ama�l� mineral ya� kullan�m� b�rakt�r�lmal�d�r.

Anahtar Kelimeler: mineral ya�, lipoid pn�moni, bronkoskopi

A Rare Complication of Chronic Constipation: Lipoid Pneumonia

Berna Duman¹, Ali Vefa �zt�rk¹, Ipek Coban², Tugba Cosgun³, Alper Toker³, Levent Dalar³
¹Istanbul Bilim University, Dept of Pulmonology
²Istanbul Bilim University, Dept of Pathology
³Istanbul Bilim University, Dept of Thoracic Surgery

Lipoid pneumonia is a rare lung disease. Consuming mineral oils for the specific treatment of chronic constipation can lead to aspiration. Herein, a case of lipoid pneumonia is presented resulting from the consumption of olive oil to treat constipation. A 70-year-old male referred with a cough and sputum expectoration. A patchy ground glass opacity was noted in right lower lobe posterobasal segment and the middle lobe in a thoracic computerized tomography (CT). The findings persisted in the middle lobe after broad spectrum antibiotherapy. An examination of the bronchoalveolar lavage fluid was inconclusive. A loss of volume was noted in the middle lobe in a new CT. A middle lobectomy was carried out, and the pathological examination revealed lipoid pneumonia. Under deep questioning, the patient disclosed that he consumed olive oil every morning for chronic constipation. Lipoid pneumonia can be an alternative diagnosis for ground glass opacities. Consuming mineral oil should be avoided, especially in the elderly and children, and in patients with impaired swallowing, reflux or neurological disorders.

Keywords: bronchoscopy, lipoid pneumonia, mineral oil

Olgunun G�r�nt� Kesitleri

Sorumlu Yazar: Levent Dalar, T�rkiye
Makale Dili: T�rk�e

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