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Kronik Konstipasyonun Nadir bir Komplikasyonu: Lipoid Pnmoni [Respir Case Rep]
Respir Case Rep. 2019; 8(3): 99-102 | DOI: 10.5505/respircase.2019.40326

Kronik Konstipasyonun Nadir bir Komplikasyonu: Lipoid Pnmoni

Berna Duman1, Ali Vefa ztrk1, Ipek Coban2, Tugba Cosgun3, Alper Toker3, Levent Dalar3
1stanbul Bilim niversitesi Gs Hastalklar Anabilim Dal
2stanbul Bilim niversitesi Patoloji Anabilim Dal
3stanbul Bilim niversitesi Gs Cerrahisi Anabilim Dal

Lipoid pnmoni nadir grlr. zellikle yallarda kronik konstipasyon amac ile kullanlan mineral yalarda aspirasyon riski vardr. Burada zeytinya aspirasyonu sonucu gelien lipoid pnmoni olgusu anlatlmaktadr.Yetmi yanda erkek hasta iki aydr devam eden ksrk, balgam ikayetleri ile bavurdu.Toraks BTde sa akcier alt lob posterior segmentte ve sa orta lobda yaygn buzlu cam dansiteleri saptand.Nonspesifik antibiyoterapiden bir ay sonra ekilen Toraks BTde orta lobda bulgularn sebat ettii grld. Sa orta lobdan bronkoalveolar lavaj yapld. ARB, nonspesifik kltr, mantar ve sitoloji incelemeleri tanya ulatrmad. Yeni toraks BTde sa orta lobda volm kaybnn gelitii grld. Tan ve tedavi amal sa orta lobektomi yapld. Patolojik incelemesi lipoid pnmoni ile uyumlu bulundu. Tekrar sorgulandnda kronik konstipasyonu iin hergn sekiz yemek ka zeytinya itii renildi. Buzlu cam infiltrasyonu olan olgularda lipoid pnmoni aklda bulundurulmaldr. zellikle ocuklarda, yallarda, refl, yutma gl veya nrolojik hastal olan kiilerde laksatif amal mineral ya kullanm braktrlmaldr.

Anahtar Kelimeler: mineral ya, lipoid pnmoni, bronkoskopi

A Rare Complication of Chronic Constipation: Lipoid Pneumonia

Berna Duman1, Ali Vefa ztrk1, 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 Tomografi Kesitleri




Berna Duman, Ali Vefa ztrk, Ipek Coban, Tugba Cosgun, Alper Toker, Levent Dalar. A Rare Complication of Chronic Constipation: Lipoid Pneumonia. Respir Case Rep. 2019; 8(3): 99-102

Sorumlu Yazar: Levent Dalar, Trkiye
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