A Case of Lipoid Pneumonia Associated with Silicon Oil Injection into Breast.

Choi, Jae Hyeon; Kim, Mi Kyoung; Park, Jae Geun; Park, Yong Kun; Choi, Kang Hyeon; Lee, Ki Man; An, Jin Young

doi:2010.69.4.288

Tuberc Respir Dis > Volume 69(4); 2010 > Article

Case Report

Tuberculosis and Respiratory Diseases 2010;69(4):288-292.
DOI: https://doi.org/10.4046/trd.2010.69.4.288 Published online October 1, 2010.

A Case of Lipoid Pneumonia Associated with Silicon Oil Injection into Breast.

Jae Hyeon Choi, Mi Kyoung Kim, Jae Geun Park, Yong Kun Park, Kang Hyeon Choi, Ki Man Lee, Jin Young An

¹Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk National University School of Medicine, Cheongju, Korea. drahnjy@chungbuk.ac.kr
²Department of Internal Medicine, The Cheongju St. Mary's Hospital, Cheongju, Korea.
³Chungcheong Respiratory Institute, Cheongju, Korea.

Abstract

Exogenous lipoid pneumonia occurs rarely in healthy people. In most cases, exogenous lipoid pneumonia is usually caused by aspiration of mineral, vegetable, or animal oil. We report the case of 42-year-old woman, who have experienced lipoid pneumonia after silicon injection into her breast for cosmetic purposes. The patient experienced fever, dyspnea, sputum, and hemoptysis after silicon injection into her breast. Chest computed tomography demonstrated non-segmental distribution of bilateral consolidation in both lung fields. A transbronchial lung biopsy specimen shows foamy microphages in alveolar spaces. Papanicolaous staining of bronchoalveolar lavage fluid showed abundant foamy marcrophages and many neutrophils. With these results, we confirmed lipoid pneumonia was associated with silicon oil injection into breast.

Key Words: Pneumonia, Lipid, Mammoplasty, Silicone Oils