High-Resolution CT Findings in Mild Pulmonary Fat Embolism

Malagari, Katerina; Economopoulos, Nikolaos; Stoupis, Christoforos; Daniil, Zoe; Papiris, Spyros; Müller, Néstor L.; Kelekis, Dimitrios

doi:10.1378/chest.123.4.1196

Cited by 87 publications

(47 citation statements)

References 14 publications

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“…bilateral ground-glass opacities and thickening of the interlobular septa. 11 The differential diagnoses of our case were head injury, pulmonary embolism and cerebrovascular accident, but head injury was ruled out by detailed history and radiological investigations, pulmonary embolism was also ruled out on the basis of lack of pre-disposing factors, clinical history, ECG and Ddimer assay and cerebrovascular accident was ruled out because of age of patient, the absence of previous history of hypertension and on the basis of MRI findings. The rapidity of onset of symptoms was noteworthy in our case, with complaint of deteriorating vision along with aphasia as the first symptom and complete recovery of both later on.…”

Section: Discussionmentioning

confidence: 85%

Cortical blindness along with motor aphasia: An unusual presentation of fat embolism syndrome

Meena

Lamoria

Millan

et al. 2016

Journal of Clinical Orthopaedics and Trauma

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Section: Discussionmentioning

confidence: 85%

Cortical blindness along with motor aphasia: An unusual presentation of fat embolism syndrome

Meena

Lamoria

Millan

et al. 2016

Journal of Clinical Orthopaedics and Trauma

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“…Ventilation/perfusion scans may demonstrate a mottled pattern of sub segmental perfusion defects with a normal ventilation pattern [19]. CT of the chest may show focal areas of ground glass opacification with inter lobar septal thickening [20,21]. MRI of the brain may reveal high intensity T2 signal, which correlates with the degree of clinical neurologic impairment [22].…”

Section: Discussionmentioning

confidence: 99%

Fat Embolism Syndrome – A Case Report with Literature Review

Gomez¹,

IshaVerma²,

L³

et al. 2015

MOJCR

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Background: The fat embolism syndrome (FES) has been considered a diagnostic enigma since its first description over a century ago. Varying degree of presentation along with absence of specific diagnostic criteria or a scoring system makes it difficult to be diagnosed. Simple fat embolism may be a pathologic finding with variable clinical significance; patients with the FES have fat emboli in multiple organs, causing extensive organ dysfunction. While most patients with FES fully recover, there is an estimated 5to15percent mortality rate. There is no wide accepted specific treatment beyond aggressive supportive care.Case Report: A 72 year old Caucasian female presented with dyspnea, hypoxia and altered mental status within 24 hours of admission for an inferior pubic rami fracture secondary to fall. Patient required intubation and mechanical ventilation for respiratory failure. An Echocardiogram revealed Right Ventricular strain and MRI of the brain showed multiple acute/subacute infarcts, which supported a diagnosis of FES, especially as pulmonary embolism was deemed less likely with a negative CT Chest Angiogram and US Doppler of Legs. The patient gradually recovered with supportive care, successfully extubated with eventually discharged after thirty days of hospitalization. Conclusion:Fat emboli syndrome has a variable degree of presentation, ranging from mild symptoms to severe multi organ involvement that can ultimately be fatal. It can also be associated with long term morbidity which emphasizes the need for rapid precise diagnosis and management.

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“…(12) In mild cases of pulmonary fat embolism where chest radiographs are normal, high resolution CT typically shows ground-glass opacities, thickened interlobular septa and 1-2 mm nodular opacities. (13) The management of these patients is supportive -in an intensive care setting with ventilatory support, corticosteroids and early fracture fixation. Most patients with CFE show complete neurological recovery despite initial cerebral dysfunction and prolonged coma.…”

Section: Discussionmentioning

confidence: 99%