2021 Volume 43 Issue 3 Pages 237-242
Background. Lipoid pneumonia is relatively rare disease, characterized by the appearance of lipid-laden macrophages in the alveolar space. Case. A 53-year-old female was referred to our hospital due to deteriorating chest radiographic findings after antibiotic therapy for pneumonia. She was treated with corticosteroid therapy due to suspicion of organizing pneumonia; however, the disease condition did not improve. Bronchoscopy was performed for the diagnosis. She was diagnosed with lipoid pneumonia based on the presence of lipid-laden macrophages in the bronchoalveolar lavage fluids. It was confirmed that she was frequently choking on reflux of digestive juices during sleep. The disease condition improved by the additional administration of metoclopramide, dietary restrictions before sleep, and guidance concerning her sleeping position. Conclusion. We reported a case of lipoid pneumonia that developed after total gastrectomy. Reflux of digestive juices and pulmonary aspiration during sleep were considered the causes of the onset in this case. Bronchoscopy was useful for the diagnosis of lipoid pneumonia.
