scholarly journals A rare case of fat embolism syndrome secondary to abdominal liposuction and gluteal fat infiltration

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Salvador Recinos ◽  
Sabrina Barillas ◽  
Alejandra Rodas ◽  
Javier Ardebol
Keyword(s):  
Right Ventricular Dysfunction ◽  
Signs And Symptoms ◽  
Fat Embolism ◽  
Fat Infiltration ◽  
Fat Embolism Syndrome ◽  
Embolism Syndrome ◽  
Threatening Condition ◽  
Life Threatening ◽  
Bone Marrow Harvesting ◽  
Dermatologic Manifestations

Abstract Fat embolism syndrome (FES) is a rare, life-threatening condition habitually associated with traumatic events such as fractures and, less commonly, burns, liposuction and bone marrow harvesting and transplant [ 1]. The biochemical theory for this condition suggests that fat droplets embolize and convert into fatty acids, eventually leading to toxic injury and inflammation, which results in increased vascular permeability, edema and hemorrhage [ 2]. FES may have an asymptomatic interval lasting 12–72 hours after the insult; however, in some cases, signs have also been seen intraoperatively. Pulmonary signs and symptoms are customarily the earliest and manifest in 75% of patients. Nevertheless, neurologic and dermatologic manifestations are also characteristic, and most severe cases could perhaps present with disseminated intravascular coagulation, right ventricular dysfunction, shock or death. The following case consists of a 37-year-old patient that presented with fat embolism syndrome during liposuction and gluteal fat infiltration.

EARLY DETECTION OF FAT EMBOLISM SYNDROME IN TRAUMATOLOGY (LITERATURE REVIEW)

2021 ◽  
pp. 23-30
Author(s):  
MAKSIM D. OSIPOV
Keyword(s):  
Early Detection ◽  
Literature Review ◽  
Fat Embolism ◽  
High Energy ◽  
Severe Condition ◽  
Fat Embolism Syndrome ◽  
Embolism Syndrome ◽  
Threatening Condition ◽  
Life Threatening ◽  
The Many

Fat embolism syndrome is one of the many complications in traumatology, which carries a serious danger due to the difficult diagnosis at the early stages of its development. In many medical sources, fat embolism syndrome is described as a severe condition characterized by obturation of blood vessels by embolus, which are represented by fat droplets larger than 7-9 microns. Fat embolism is usually caused by trauma, accompanied by crushing of tissues. This is especially common in fractures of the tubular bones as a result of high-energy trauma. As exemplified in the medical literature about 6-7 % of isolated fractures and 37 % of combined injuries lead to the appearance of fat embolism syndrome. Much more often, fat embolism develops in open fractures, and the frequency of its occurrence increases with a combination of open and closed fractures. Due to the fact that fat embolism is a life-threatening condition, early detection of this pathology is necessary. The purpose of this literature review is to study the pathogenesis of fat embolism, as well as the possibilities, problems and methods of early diagnosis of this pathology in trauma practice...

scholarly journals Fat Embolism Syndrome, a Diagnostic Dilemma: Case Report and Review of the Literature

2021 ◽  
pp. 73-78
Author(s):  
Rhita Salah ◽  
Réda El Alami ◽  
Badr Chalouah ◽  
Mohammed Benchakroun ◽  
Abdeloihab Jaafar ◽  
...  
Keyword(s):  
Specific Treatment ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Fat Embolism ◽  
Variable Degree ◽  
Diagnostic Dilemma ◽  
Fat Embolism Syndrome ◽  
Embolism Syndrome ◽  
Threatening Condition ◽  
Life Threatening

Fat embolism syndrome (FES) remains a diagnostic dilemma on a world scale. It has a variable degree of presentation, which makes the diagnostic confirmation hard to obtain. FES is a life-threatening condition which is usually associated with orthopedic trauma, particularly long bones fractures whose early fixation helps in preventing it. It requires supportive care, and no specific treatment is needed. Here, we report the case of a FES in a 20 year-old male patient with right femoral shaft fracture following a motorbike accident, which is diagnosed by Gurd’s criteria and confirmed after exclusion of other diagnosis with similar clinical presentation.

scholarly journals FAT EMBOLISM AND FAT EMBOLISM SYNDROME;

2008 ◽  
Vol 15 (04) ◽  
pp. 407-413
Author(s):  
ANSAR LATIF ◽  
ANILA BASHIR ◽  
AURANGZEB , ◽  
Umar Ghani
Keyword(s):  
Fat Embolism ◽  
Long Bones ◽  
Neurological Manifestations ◽  
Cell Disease ◽  
Fat Embolism Syndrome ◽  
Severe Burns ◽  
Embolism Syndrome ◽  
Threatening Condition ◽  
Life Threatening ◽  
High Index Of Suspicion

Fat Embolism and the associated Fat Embolism Syndrome is a serious and potentially life threatening condition. It tends tooccur usually after fractures or intramedullary instrumentation of long bones. Non-traumatic conditions such as Diabetes Mellitus severe Burns,SLE, sickle cell disease and Pancreatitis can also lead to Fat Embolic syndrome. Young adults are commonly affected. Presentation consistsof an asymptomatic interval followed by pulmonary and neurological manifestations combined with petechial haemorrhages. The diagnosislargely depends on high index of suspicion and exclusion of other conditions. Treatment of this condition remains supportive. Mortalityassociated with this condition is significant, ranging from 10-20% .

scholarly journals Liposuction-Induced Fat Embolism Syndrome: A Brief Review and Postmortem Diagnostic Approach

2018 ◽  
Vol 142 (7) ◽  
pp. 871-875 ◽  
Author(s):  
Colby A. Cantu ◽  
Elizabeth N. Pavlisko
Keyword(s):  
Supportive Therapy ◽  
Signs And Symptoms ◽  
The United States ◽  
Fat Embolism ◽  
Specific Therapy ◽  
Fat Embolism Syndrome ◽  
Neurologic Impairment ◽  
Embolism Syndrome ◽  
Life Threatening ◽  
Elective Procedure

Lipoplasty, or liposuction, the surgical process of removing excess fat, is an elective procedure with rising frequency in the United States. Fat embolism syndrome is a clinical diagnosis and is defined as fat in the circulation with an identifiable clinical pattern of signs and symptoms (eg, hypoxemia, respiratory insufficiency, neurologic impairment, and petechial rash) that occur in the appropriate clinical context. Fat embolism syndrome following liposuction is a life-threatening complication, although its incidence is low. Currently, there is no specific therapy for fat embolism syndrome, so prevention, early detection, and supportive therapy are critical. Many cases of fat embolism syndrome are undiagnosed or misdiagnosed; however, postmortem examination can provide the means for appropriate diagnosis. Therefore, a pathologist must keep a keen eye, as microscopic fat emboli are difficult to appreciate with routine tissue processing and staining.

Fat Embolism Syndrome After Femur Fracture With Intramedullary Nailing: Case Report

2011 ◽  
Vol 20 (3) ◽  
pp. 267-266 ◽  
Author(s):  
K. A. Powers ◽  
L. A. Talbot
Keyword(s):  
Early Detection ◽  
Intramedullary Nailing ◽  
Prehospital Care ◽  
Signs And Symptoms ◽  
Fat Embolism ◽  
Nursing Assessment ◽  
Fat Embolism Syndrome ◽  
Orthopedic Injury ◽  
Embolism Syndrome ◽  
Threatening Condition

Fat embolism syndrome is a life-threatening condition that can develop after orthopedic injury and surgery. This syndrome developed in a 19-year-old man after a traumatic femoral fracture that was surgically repaired with intramedullary nailing. The complications experienced by the patient highlight the importance of prevention and early detection of fat embolism syndrome. Although minimization of the syndrome focuses primarily on prehospital care and early stabilization of a patient’s condition, prevention of the potential consequences requires early detection by bedside nurses who care for trauma and orthopedic patients. Detailed nursing assessment and rapid recognition and reporting of the signs and symptoms associated with fat embolism syndrome are key to improving the outcomes of these patients.

scholarly journals A case of fat embolism syndrome complicated by diffuse alveolar hemorrhage

2017 ◽  
Vol 25 (2) ◽  
pp. 102-105
Author(s):  
Jae Ha Lee ◽  
Jin Han Park ◽  
Yong Kyun Kim ◽  
Ji Wan Kim ◽  
Young Chang Kim ◽  
...  
Keyword(s):  
Systemic Circulation ◽  
Fat Embolism ◽  
Diffuse Alveolar Hemorrhage ◽  
Alveolar Hemorrhage ◽  
Long Bone ◽  
Fat Embolism Syndrome ◽  
Embolism Syndrome ◽  
Threatening Condition ◽  
Initial Injury ◽  
Life Threatening

Fat embolism syndrome is a life-threatening condition that may develop after orthopedic trauma and surgery. Fat embolism is caused by lipid droplets in the systemic circulation inducing mechanical or biochemical injury. Diagnosis is clinical and treatment is supportive. Clinical features including respiratory changes, neurological abnormalities, and petechial rashes generally present 12–72 h after the initial injury. However, respiratory failure accompanying diffuse alveolar hemorrhage in fat embolism syndrome is rare. This report describes a 44-year-old male patient suffering from fat embolism syndrome with diffuse alveolar hemorrhage caused by traumatic long bone fracture, in which mechanical ventilation was required to provide respiratory support.

scholarly journals Use of Early Inhaled Nitric Oxide Therapy in Fat Embolism Syndrome to Prevent Right Heart Failure

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Evgeni Brotfain ◽  
Leonid Koyfman ◽  
Ruslan Kutz ◽  
Amit Frenkel ◽  
Shaun E. Gruenbaum ◽  
...  
Keyword(s):  
Nitric Oxide ◽  
Right Heart Failure ◽  
Fat Embolism ◽  
Inhaled Nitric Oxide ◽  
Long Bone ◽  
Trauma Patients ◽  
Severe Hypoxemia ◽  
Fat Embolism Syndrome ◽  
Embolism Syndrome ◽  
Threatening Condition

Fat embolism syndrome (FES) is a life-threatening condition in which multiorgan dysfunction manifests 48–72 hours after long bone or pelvis fractures. Right ventricular (RV) failure, especially in the setting of pulmonary hypertension, is a frequent feature of FES. We report our experience treating 2 young, previously healthy trauma patients who developed severe hypoxemia in the setting of FES. Neither patient had evidence of RV dysfunction on echocardiogram. The patients were treated with inhaled nitric oxide (NO), and their oxygenation significantly improved over the subsequent few days. Neither patient developed any cardiovascular compromise. Patients with FES that have severe hypoxemia and evidence of adult respiratory distress syndrome (ARDS) are likely at risk for developing RV failure. We recommend that these patients with FES and severe refractory hypoxemia should be treated with inhaled NO therapy prior to the onset of RV dysfunction.

scholarly journals Diagnostic significance of fat globules in blood in fulminant-type fat embolism syndrome

2021 ◽  
Author(s):  
AYU ASAKAGE ◽  
Michiko Fujisawa ◽  
Tetsuhiro Takei ◽  
Jiro Kumagai
Keyword(s):  
Fat Embolism ◽  
Quantitative Change ◽  
Diagnostic Significance ◽  
Fat Embolism Syndrome ◽  
Fat Globules ◽  
Embolism Syndrome ◽  
The Future ◽  
Life Threatening ◽  
Fulminant Type

Detecting fat globules in blood in diagnosing fat embolism syndrome (FES) remains controversial. This case illustrated two life threatening episodes possibly due to FES, with a dramatic increases of fat globules in blood. Significance of quantitative change of fat in blood in diagnosing FES should be evaluated in the future.

Clinical case of successful treatment of compartment syndrome, complicated by fat embolism syndrome

2018 ◽  
Vol 16 (7(part 1)) ◽  
pp. 81-84
Author(s):  
I. O. Pankov ◽  
◽  
M. M. Gabdullin ◽  
S. D. Sirazitdinov ◽  
◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Successful Treatment ◽  
Clinical Case ◽  
Fat Embolism ◽  
Fat Embolism Syndrome ◽  
Embolism Syndrome
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