Pediatric Radiology

, Volume 19, Issue 8, pp 545–547 | Cite as

Lipid aspiration pneumonia due to gastroesophageal reflux

A complication of nasogastric lipid feedings
  • B. J. Wolfson
  • J. L. Allen
  • H. B. Panitch
  • N. Karmazin
Short Reports


The development of lipid aspiration pneumonia after chronic nasopharyngeal installation of mineral oil was first described in 1925 by Laughlin. Since that time this entity has been well recognized and numerous substances have been identified or implicated as the aspirated material. The classic radiographic appearance of severe chronic lipid aspiration pneumonia has been described as consisting of intense perihilar infiltrates. However, the radiographic findings are more often non-specific and usually consist of varying degrees of diffuse interstitial infiltrates that tend to be more prominent in the perihilar regions and the right lung. We are reporting a case of biopsy-proven lipid aspiration pneumonia in an infant with known gastro-esophageal reflux (GER) who had medium-chain triglyceride oil administered via nasogastric tube. Serial roentgenograms demonstrated a changing pulmonary pattern from diffuse bilateral interstitial infiltrates initially to a diffuse alveolar pattern at the time of the lung biopsy.


Pneumonia Triglyceride Nasogastric Tube Radiographic Finding Lung Biopsy 
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Copyright information

© Springer-Verleg 1989

Authors and Affiliations

  • B. J. Wolfson
    • 1
  • J. L. Allen
    • 2
  • H. B. Panitch
    • 2
  • N. Karmazin
    • 3
  1. 1.Department of RadiologySt. Christopher's Hospital for Children and Temple University School of MedicinePhiladelphiaUSA
  2. 2.Section of Pulmonary Medicine, Department of PediatricsSt. Christopher's Hospital for Children and Temple University School of MedicinePhiladelphiaUSA
  3. 3.Department of PathologySt. Christopher's Hospital for Children and Temple University School of MedicinePhiladelphiaUSA

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