Fat Embolism Syndrome Secondary to Short Bone Fracture: Case Presentation

Keywords: Fat embolism, bone fractures, respiratory insufficiency

Abstract

Introduction: We present the clinical case of a 15-year-old male who sustained fractures to the short bones of his right foot as a result of a traffic accident. After 24 hours of evolution, he was admitted for dyspnea, desaturation, an objective febrile peak, and the development of respiratory failure. Given the clinical suspicion of fat embolism syndrome, pulmonary angiotomography was requested, which confirmed the diagnosis. This is a rare finding in patients with this type of fracture. The initial treatment included close monitoring in the intensive care unit, supportive measures such as supplemental oxygen, respiratory therapy, and surgical fracture management. The patient’s clinical progression was adequate, and the respiratory condition resolved completely. Conclusion: Fat embolism syndrome resulting from short bone fractures is a rare condition; therefore, it is necessary to have a high level of diagnostic suspicion, not only in the most common scenarios, but also in these unusual and challenging contexts, which allows for its early detection and, as a result, timely management, which has a positive impact on clinical outcomes and reduces the risk of long-term sequelae.

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Author Biographies

Andrés Julián Uribe Jiménez, Emergency Department, Hospital “Pablo Tobón Uribe”, Medellín, Colombia
Emergency Department, Hospital “Pablo Tobón Uribe”, Medellín, Colombia
Juan Esteban Quiroz Álvarez, Emergency Department, Hospital “Pablo Tobón Uribe”, Medellín, Colombia
Emergency Department, Hospital “Pablo Tobón Uribe”, Medellín, Colombia
Carlos Guillermo Vidal Vargas, Emergency Department, Hospital “Pablo Tobón Uribe”, Medellín, Colombia
Emergency Department, Hospital “Pablo Tobón Uribe”, Medellín, Colombia
Víctor Alfonso Avendaño Arango, Universidad Pontificia Bolivariana, Medellín, Colombia
Universidad Pontificia Bolivariana, Medellín, Colombia
Ricardo Londoño García, Universidad Pontificia Bolivariana, Medellín, Colombia
Universidad Pontificia Bolivariana, Medellín, Colombia

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Published
2024-06-17
How to Cite
Uribe Jiménez, A. J., Quiroz Álvarez, J. E., Vidal Vargas, C. G., Avendaño Arango, V. A., & Londoño García, R. (2024). Fat Embolism Syndrome Secondary to Short Bone Fracture: Case Presentation. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 89(3), 284-289. https://doi.org/10.15417/issn.1852-7434.2024.89.3.1817
Section
Case Presentations

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