脂质性肺炎和腹膜子宫内膜异位症:尸检的罕见偶然发现

Zini Chaurasia, Renu Gupta, S. Agarwal
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引用次数: 0

摘要

脂质肺炎早在1925年就被劳伦GF描述为一种罕见的由吸入油滴引起的肺炎。约50%的脂质性肺炎患者无症状。在这里,一个12岁的女孩在尸检后接受了腹膜液和不同器官的组织块的检查。死前没有任何疾病史。液体细胞学显示提示子宫内膜异位症的特征。肺切片镜检显示肺泡和间质中有大量脂滴,伴轻度炎性浸润,提示脂质性肺炎。鉴于本病例报告中的偶然发现,职业史或油类药物吸入史变得非常重要,应始终进行调查。此外,在没有任何症状的情况下,需要仔细研究腹膜液是否有任何病理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lipoid Pneumonia and Peritoneal Endometriosis: Rare Incidental Findings on Autopsy
Lipoid pneumonia has been described in as early as 1925, by Laughlen GF, to be a rare variant of pneumonia caused by the inhalation of oil droplets. Around 50% of the patients with lipoid pneumonia are asymptomatic. Here, a case is presented where peritoneal fluid and tissue pieces from various organs of a 12-year-old female were received for examination after autopsy. There was no history of any illness before death. Cytology of fluid revealed features suggestive of endometriosis. Microscopy of lung sections revealed numerous lipid droplets in the alveoli and the interstitium along with a mild inflammatory infiltrate suggestive of lipoid pneumonia. In view of incidental findings in present case report, the occupational history or history of inhalation of oil-based medications becomes very important and should always be investigated. Also, in the absence of any symptoms peritoneal fluid needs to be studied carefully for any pathology.
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