Nonfracture-associated fatal
fat embolism in a case of child abuse.
Often times, CT brain imaging is normal in patients with CFE; however a "hypodense artery sign" may be present where the fatty embolus can be seen in a large proximal artery with a Houndsfield unit measurement of -100 to -50, indicating an intraluminal
fat embolism [16] in contrast to the hyperdense artery commonly found in thromboembolic stroke.
Akhtar, "
Fat Embolism," Anesthesiology Clinics, vol.
Pellegrini, "
Fat embolism syndrome: a review of the pathophysiology and physiological basis of treatment," Clinical Orthopaedics and Related Research, vol.
There are only two previous reports of patients with EEG confirmed NCSE complicating
fat embolism [8, 9].
Although a larger case series is needed, macroscopic
fat embolism should be considered in the differential diagnostic subset of non-hemorrhagic infarct when a patient presents with neurological symptoms following cardiac surgery, especially after a valve-replacement procedure.
A
fat embolism is represented by the migration of a fat particle from the bone's marrow to a blood vessel.
Successful laparoscopic splenectomy has been reported with distinctive advantage of shorter hospital stay, lower incidence of post operative acute chest syndrome and lower wound related complications.6 The decrease in the incidence of post operative acute chest syndrome in lap splenectomy (5.2%) compared to open procedure(33.3%) has been attributed to several factors including reduced manipulation and disruption of fat during laparoscopy, preventing
fat embolism and thrombosis in locally damaged tissue vessels reduced.7
It is worth to note that the closed femur fractures should be operated on as early as possible in order to prevent the development of posttraumatic
fat embolism and to alleviate patient's care in an intensive care unit (Skorogljadov et al., 2004).
Complications, such as
fat embolism, fat necrosis and infection can happen with this procedure.
In addition, there is a threat of
fat embolism. During a fracture or joint surgery, small fat particles escape from the bone marrow and enter the blood stream.
A femur fracture can displace fat and marrow that can cause a
fat embolism in the lungs.