Background: Fat embolism syndrome (FES) is a rare complication caused by the presence of fat particles in the microcirculation, which usually occurs within 12-72 h after trauma. At present, there have been few cases of fat embolism presenting within 3 h after trauma. Here, we report a case of femoral fracture complicated with an acute fat embolism caused by a car accident.
Case Summary: A 29-year-old woman with pain, swelling and limited movement of her left lower limb after a car accident was taken by ambulance to our hospital. X-ray examination showed fracture of the middle and lower part of the left femur and fracture of the base of the left fifth metatarsal bone. She was hospitalized and admitted to the orthopedic ward. After the attending doctor performed tibial tubercle bone traction, the patient became confused, followed by respiratory distress. Finally, she was transferred to the intensive care unit. After nearly a month of treatment in the intensive care unit, the patient's cognitive function gradually recovered over 6 mo.
Conclusion: For patients with early traumatic fractures, young emergency physicians and orthopedics should be aware of the possibility of FES.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8462216 | PMC |
| http://dx.doi.org/10.12998/wjcc.v9.i27.8260 | DOI Listing |
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Article Synopsis
- * FES is often associated with orthopedic injuries, especially long bone fractures, and can cause serious complications if not treated promptly; early surgical fixation is crucial in reducing risks.
- * Successful management of FES relies on timely intervention, supportive care, and a multidisciplinary approach, highlighting the importance of prevention and early diagnosis.
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