scholarly journals Diffuse alveolar haemorrhage – Is it an unusual or unlooked presentation of Fat Embolism Syndrome? A Case report and review of literature

2020 ◽  
Vol 9 (1) ◽  
pp. 40-43
Author(s):  
Dipesh Maskey
Keyword(s):  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Fat Embolism ◽  
Alveolar Haemorrhage ◽  
Atypical Presentation ◽  
Review Of Literature ◽  
Fat Embolism Syndrome ◽  
Embolism Syndrome ◽  
High Index Of Suspicion ◽  
Surgical Manipulation

Fat embolism syndrome (FES) is a constellation of clinical symptoms characterized by a triad of respiratory insufficiency, altered sensorium and petechiae occurring after orthopaedic trauma or following surgical manipulation of long bones and spine. The diagnosis is based on clinical presentation and excluding other possible conditions. Beside histopathology, none of the investigations such as fat macroglobinuria in urine or lipid laden macrophages in bronchoalveolar lavage (BAL) is 100% specific. At times FES can present with atypical presentation such as intra alveolar haemorrhage and only high index of suspicion can help in making diagnosis.

Prone positioning in a patient with fat embolism syndrome presenting as diffuse alveolar haemorrhage: new perspective

2020 ◽  
Vol 13 (3) ◽  
pp. e233452
Author(s):  
Arnab Banerjee ◽  
Richa Aggarwal ◽  
Kapil Dev Soni ◽  
Anjan Tirkha
Keyword(s):  
Prone Position ◽  
Rare Complication ◽  
Fat Embolism ◽  
Interesting Case ◽  
Alveolar Haemorrhage ◽  
Diffuse Alveolar Haemorrhage ◽  
Fat Embolism Syndrome ◽  
Embolism Syndrome ◽  
Severe Hypoxaemia ◽  
New Perspective

Diffuse alveolar haemorrhage (DAH) is a rare complication of fat embolism syndrome leading to severe hypoxaemia due to the effusion of blood into the alveoli from the damaged pulmonary microvasculature. The management is usually supportive with patients being nursed in supine position. The use of prone position ventilation in a DAH has rarely been reported before. We report an interesting case of a 26-year-old male patient diagnosed with DAH caused by fat embolism in whom prone position ventilation improved the lung dynamics and oxygenation.

scholarly journals Clinical presentation and prognostic factors in fat embolism syndrome

Critical Care ◽  
10.1186/cc407 ◽  
1999 ◽  
Vol 3 (Suppl 1) ◽  
pp. P032
Author(s):  
GD Puri ◽  
VK Arya ◽  
P Chari
Keyword(s):  
Prognostic Factors ◽  
Clinical Presentation ◽  
Fat Embolism ◽  
Fat Embolism Syndrome ◽  
Embolism Syndrome

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% .

Post-operative Fat Embolism Syndrome: A case report and review of literature

2010 ◽  
Vol 2010 (1) ◽  
pp. 19
Author(s):  
N. Shaikh ◽  
M. Al Ariff ◽  
F. Ummunnisa ◽  
M. Abdullah
Keyword(s):  
Case Report ◽  
Fat Embolism ◽  
Review Of Literature ◽  
Fat Embolism Syndrome ◽  
Embolism Syndrome

scholarly journals Fat Embolism Syndrome: Our Experience

2013 ◽  
Vol 1 (1) ◽  
pp. 49-52
Author(s):  
Mohammad Mufizul Islam Polash ◽  
Ahmad Mursel Anam ◽  
Md Motiul Islam ◽  
Raihan Rabbani ◽  
ARM Nooruzzaman ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Artificial Respiration ◽  
Fat Embolism ◽  
Distinct Pattern ◽  
Pulmonary Insufficiency ◽  
Symptomatic Therapy ◽  
Mri Findings ◽  
Fat Embolism Syndrome ◽  
Embolism Syndrome ◽  
Traumatic Fracture

Fat embolism syndrome is a serious consequence of fat emboli producing a distinct pattern of clinical symptoms and signs. It is most commonly associated with fractures of long bones and the pelvis. Patients usually present with signs and symptoms of multiorgan dysfunction, particularly involving the triad of lungs, brain, and skin. A combination of clinical criteria and MRI brain will enable early and accurate diagnosis of FES. Prevention, early diagnosis, and adequate symptomatic treatment are the mainstay of management. We present a case who became drowsy, after a few hours of a traumatic fracture and developed pulmonary insufficiency, cutaneous petechiae. MRI findings were consistent with cerebral fat embolism. Treatment included intensive care, artificial respiration, and symptomatic therapy. The patient had recovered completely. DOI: http://dx.doi.org/10.3329/bccj.v1i1.14370 Bangladesh Crit Care J March 2013; 1: 49-52

scholarly journals Adolescent Fat Embolism Syndrome after Closed Tibial Shaft Fracture: Treatment with Emergent External Fixation

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Dillon C. O’Neill ◽  
Graham J. Dekeyser ◽  
Alexander J. Mortensen ◽  
Christopher A. Makarewich
Keyword(s):  
External Fixation ◽  
Shaft Fracture ◽  
Fat Embolism ◽  
Adolescent Male ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Fat Embolism Syndrome ◽  
Football Game ◽  
Embolism Syndrome ◽  
High Index Of Suspicion

Case. An adolescent male developed fat embolism syndrome 24 hours after sustaining a closed right tibial shaft fracture in a football game. The patient was treated with emergent external fixator application due to declining respiratory and mental status and experienced swift recovery after stabilization. He was treated with an intramedullary nail within 1 week of injury. Conclusion. Pediatric fat embolism syndrome is uncommon, and a high index of suspicion is required to facilitate appropriate orthopaedic involvement. External fixation can be performed emergently with minimal fracture manipulation. Rapid provisional fixation appears to have facilitated recovery in this example.

scholarly journals Fat embolism syndrome: Clinical and imaging considerations: Case report and review of literature

2008 ◽  
Vol 12 (1) ◽  
pp. 32-36 ◽  
Author(s):  
Ashok Parchani ◽  
Nissar Shaikh ◽  
Venkatraman Bhat ◽  
Marie Anne Kattren
Keyword(s):  
Case Report ◽  
Fat Embolism ◽  
Review Of Literature ◽  
Fat Embolism Syndrome ◽  
Embolism Syndrome

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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