Dispnea After Appendectomy Operation: Case Report

Pulmonary Langerhans cell histiocytosis (PLCH) is a rare interstitial lung disease. Its estimated prevalence is two to five cases per million. Young male adults develop the disease most frequently. Greater than 90% of cases of PLCH occur in smokers. Diabetes insipidus (DI) occurs in about 11% to 40% of patients and pneumothoraces occur in 10% to 30% of patients. The diagnosis of PLCH can be confirmed by BAL, transbronchial biopsy, or surgical lung biopsy. We present a case referred to us with dispnea developed after appendectomy operation, coexisting with DI, and diagnosed to have PLCH using transbronchial lung biopsy. Pulmoner Langerhans hucreli histiyositoz (PLCH) nadir gorulen bir interstisyel akciger hastaligidir. Tahmini prevalansi milyonda iki ila bes arasinda olup ozellikle genc erkeklerde gorulur. Olgularin %90a#39;indan fazlasi sigara icenlerde gorulur. %10-%40a#39;inda diabetes insipidus eslik eder ve %10-%30a#39;unda pnomotoraks gorulebilir. Tani BAL, transbronsiyal biyopsi veya acik akciger biyopsisi ile konur. Apandektomi operasyonu sonrasi gelisen dispne sikayeti ile basvuran, diabetes insipidusun eslik ettigi ve transbronsiyal akciger biyopsisi ile PLCH tanisi alan olguyu sunuyoruz.