Fat Embolism Syndrome Complicated by Diffuse Alveolar Hemorrhage After a Minimally Displaced Tibia Fracture

Author:

Seely Kevin D.1ORCID,Cooper Reese1ORCID,Machen Aaron1ORCID,Eggers Ryan2ORCID

Affiliation:

1. College of Osteopathic Medicine, Rocky Vista University, Ivins, Utah

2. Southwest Orthopedics and Sports Medicine, St. George, Utah

Abstract

Case: A 26-year-old man with a minimally displaced tibial shaft fracture after an all-terrain vehicle crush injury rapidly developed fat embolism syndrome (FES), leading to diffuse alveolar hemorrhage (DAH) preoperatively. He was treated with an intramedullary rod 10 days after injury after a complicated clinical course and went on to full union with no long-term mental or systemic sequelae. Conclusions: FES is a known complication of long bone fractures, frequently presenting with hypoxemia. DAH is a rare complication of the condition. This case demonstrates the need for a high index of suspicion both for FES and DAH as complications of orthopaedic trauma.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Orthopedics and Sports Medicine,Surgery

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4. Fat embolism and the fat embolism syndrome. A double-blind therapeutic study;Lindeque;J Bone Joint Surg Br.,1987

5. A case of diffuse alveolar hemorrhage secondary to fat embolism after long bone fracture;Velloze;Respir Med Case Rep.,2022

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