A case of diffuse alveolar hemorrhage secondary to fat embolism after long bone fracture

Velloze, Stephanie; Holtrop, Melanie; Adams, Traci N.

doi:10.1016/j.rmcr.2022.101735

Cited by 1 publication

(2 citation statements)

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“…F ew published reports document low-energy or minimally displaced fractures resulting in FES 6 , with fewer still progressing to DAH at any level of orthopaedic trauma 5,7 . There are no other published reports of low-energy injury with minimal fracture displacement presenting with FES and DAH as seen in this patient.…”

Section: Discussionmentioning

confidence: 99%

“…Multiple diagnostic criteria for FES have been proposed [2][3][4] . Although hypoxemia is a common presenting symptom of FES, diffuse alveolar hemorrhage (DAH) is a rare complication of FES presenting as acute respiratory distress syndrome (ARDS) and hemoptysis 5 . This case describes a young man with a minimally displaced tibial shaft fracture who rapidly developed hypoxemic respiratory failure and hemoptysis from DAH secondary to FES, resulting in a complicated intensive clinical course before fixation.…”

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confidence: 99%

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

Seely

Cooper

Machen

et al. 2023

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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.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C77).

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%