Cilj: Prikazati slučaj 42-godišnjeg bolesnika koji je upućen zbog aspiracijske pneumonije
srednjeg režnja pluća, refrakterne na terapiju, koja je nastala kao posljedica aspiracije nafte.
Prikaz slučaja: Nakon učinjene bronhoskopske i radiološke obrade, na nalazu kompjutorizirane
tomografije grudnog koša i dalje perzistira infiltrat srednjeg režnja s destrukcijom i nekrozom, pa se torakokirurški odstranila tvorba. Patohistološki nalaz odgovara kroničnoj lipoidnoj
bronhopneumoniji. Zaključak: Lipoidna pneumonija je rijedak oblik pneumonije koji predstavlja dijagnostički i terapijski izazov. Potrebno je razmišljati o ovoj bolesti, koja se može javljati u akutnom, ali i kroničnom obliku. Katkad može izazvati destrukciju i nekrozu, refrakternu
na svu terapiju, pa torakotomija može biti najbolje rješenje za bolesnika.Aim: To report the case of a 42-year old patient, who was was reffered because of non resolving middle lobe aspiration pneumonia caused by petroleum aspiration. Case report:
Fiberopticbronchoscopy and chest radiograph were performed to evaluate the non resolving
pneumonia. Chest radiography and bronchoscopy revealed consolidation in the middle
lobe. Computerized tomography scan revealed the same consolidation in the middle lobe with cavitation and necrosis, and toracotomy was indicated. Histological analysis revealed
chronic lipoid pneumonia. Conclusion: Lipoid pneumonia is a rare condition, which represents a diagnostic and therapeutic challenge. Therefore, physicians should be aware of this disease, which can present in an acute, as well as a chronic respiratory illness. Once diagnosed,
it can be progressive, causing necrosis and cavitation, which may require thoracotomy
as the best solution for the patient
