Acute exogenous lipoid pneumonia due to foreign body aspiration in a child- an unusual and sinister presentation: A case report


  • Shailesh Solanki Solanki Associate professor ,PGIMER, chandigarh
  • Prema Menon Professor, PGIMER, Chandigarh
  • Ravi Prakash Kanojia Professor, PGIMER, Chandigarh
  • Nitin Peters
  • Ram Samujh Professor, PGIMER, Chandigarh
  • Akshay Saxena Professor, PGIMER, Chandigarh



exogenous lipoid pneumonia, foreign body aspiration, oil aspiration, almond aspiration


Background: Acute exogenous lipoid pneumonia is an extremely rare pathology in children and occurs because of aspiration of oil or lipid-containing material. The presentation and radiological findings vary widely and the exact mechanism of injury to the lungs is not clear.

Case Presentation: An 18-month-old girl presented with gradually increasing swelling and subcutaneous emphysema over the chest wall, neck, and face. The investigation revealed pneumomediastinum, pneumorachis, and soft tissue density in the left bronchus. The child underwent rigid bronchoscopy and retrieval of an organic foreign body.

Conclusion: Acute exogenous lipoid pneumonia can occur in children because of aspiration of oil-secreting organic foreign body. The presentation can be atypical, clinical suspicion and early diagnosis with timely intervention are crucial for the appropriate management.


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Lu G, Xie Y, Huang L, et al. Study of Acute Exogenous Lipoid Pneumonia. Indian J Pediatr. 2016;83:787-791.

Haddadi S, Marzban S, Nemati S, Ranjbar Kiakelayeh S, Parvizi A, Heidarzadeh A. Tracheobronchial Foreign-Bodies in Children; A 7 Year Retrospective Study. Iran J Otorhinolaryngol. 2015;27:377-385.

Foltran F, Ballali S, Passali FM, Kern E, Morra B, Passali GC, Berchialla P, Lauriello M, Gregori D. Foreign bodies in the airways: a meta-analysis of published papers. Int J Pediatr Otorhinolaryngol. 2012;14:S12-9.

Orji FT, Akpeh JO. Tracheobronchial foreign body aspiration in children: how reliable are clinical and radiological signs in the diagnosis? Clin Otolaryngol. 2010;35:479-85.

Yi MS, Kim KI, Jeong YJ, Park HK, Lee MK. CT findings in hydrocarbon pneumonitis after diesel fuel siphonage. AJR Am J Roentgenol. 2009;193:1118–21.

Marangu D, Gray D, Vanker A, Zampoli M. Exogenous lipoid pneumonia in children: A systematic review. Paediatr Respir Rev. 2020;33:45-51.

Betancourt SL, Martinez-Jimenez S, Rossi SE, Truong MT, Carrillo J, Erasmus JJ. Lipoid pneumonia: spectrum of clinical and radiologic manifestations. AJR Am J Roentgenol 2010;194:103-109.



How to Cite

Solanki SS, Menon P, Kanojia RP, Peters N, Samujh R, Saxena A. Acute exogenous lipoid pneumonia due to foreign body aspiration in a child- an unusual and sinister presentation: A case report. J Pediatr Adolesc Surg [Internet]. 2022Mar.15 [cited 2023Mar.26];2(1):50-2. Available from:
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