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Fat embolus

MedGen UID:
8587
•Concept ID:
C0013928
•
Pathologic Function
Synonyms: Embolism, Fat; Embolisms, Fat; Fat Embolism; Fat Embolisms
SNOMED CT: Fat embolus (17289003); Fat embolus (212372004); Fat embolism (212372004)

Definition

Blocking of a blood vessel by fat deposits in the circulation. It is often seen after fractures of large bones or after administration of CORTICOSTEROIDS. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFat embolus

Professional guidelines

PubMed

Bone Health and Osteoporosis Management of the Patient With Duchenne Muscular Dystrophy.
Ward LM, Hadjiyannakis S, McMillan HJ, Noritz G, Weber DR
Pediatrics 2018 Oct;142(Suppl 2):S34-S42. doi: 10.1542/peds.2018-0333E. PMID: 30275247Free PMC Article
Cerebral Fat Embolism: Clinical Presentation, Diagnostic Steps and Long-Term Follow-Up.
Dunkel J, Roth C, Erbguth F, Dietrich W, Hügens-Penzel M, Ferbert A
Eur Neurol 2017;78(3-4):181-187. Epub 2017 Sep 12 doi: 10.1159/000479002. PMID: 28898867
Part 10: Special Circumstances of Resuscitation: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.
Lavonas EJ, Drennan IR, Gabrielli A, Heffner AC, Hoyte CO, Orkin AM, Sawyer KN, Donnino MW
Circulation 2015 Nov 3;132(18 Suppl 2):S501-18. doi: 10.1161/CIR.0000000000000264. PMID: 26472998

Recent clinical studies

Etiology

Fat Embolism After Plastic Surgery: A Case Report.
Pham MQ
Plast Aesthet Nurs (Phila) 2022 Jan-Mar 01;42(1):27-30. doi: 10.1097/PSN.0000000000000414. PMID: 36450071
Fat embolism syndrome: Experience from an Australian trauma centre.
A K, J E, D V, LA K
Int J Orthop Trauma Nurs 2020 Feb;36:100746. Epub 2019 Oct 31 doi: 10.1016/j.ijotn.2019.100746. PMID: 31806364
Fat embolism: a rare cause of perioperative renal transplant dysfunction.
Scott J, Collin N, Baker R, Ravanan R
BMJ Case Rep 2017 Dec 7;2017 doi: 10.1136/bcr-2017-221829. PMID: 29222218Free PMC Article
Fat embolus in femur fractures: a comparison of two reaming systems.
Volgas DA, Burch T, Stannard JP, Ellis T, Bilotta J, Alonso JE
Injury 2010 Nov;41 Suppl 2:S90-3. doi: 10.1016/S0020-1383(10)70017-6. PMID: 21144937
Bilateral total hip-replacement arthroplasty in one stage.
Salvati EA, Hughes P, Lachiewicz P
J Bone Joint Surg Am 1978 Jul;60(5):640-4. PMID: 681382

Diagnosis

Fat Embolism After Plastic Surgery: A Case Report.
Pham MQ
Plast Aesthet Nurs (Phila) 2022 Jan-Mar 01;42(1):27-30. doi: 10.1097/PSN.0000000000000414. PMID: 36450071
Delayed onset of fat embolus in the cerebral venous system after breast and hip augmentation: a case report.
Dong W, Wan DY, Yang X, Fu M, Liu X, Li H, Xie XQ
BMC Neurol 2021 Oct 26;21(1):411. doi: 10.1186/s12883-021-02419-x. PMID: 34702212Free PMC Article
Fat embolism syndrome: Experience from an Australian trauma centre.
A K, J E, D V, LA K
Int J Orthop Trauma Nurs 2020 Feb;36:100746. Epub 2019 Oct 31 doi: 10.1016/j.ijotn.2019.100746. PMID: 31806364
Fat embolus in femur fractures: a comparison of two reaming systems.
Volgas DA, Burch T, Stannard JP, Ellis T, Bilotta J, Alonso JE
Injury 2010 Nov;41 Suppl 2:S90-3. doi: 10.1016/S0020-1383(10)70017-6. PMID: 21144937
Fat embolus.
Lamphier TA
Md State Med J 1979 Oct;28(10):44-7. PMID: 502583

Therapy

Case 254: Posttraumatic Migrating Fat Embolus Causing Fat Emboli Syndrome.
Molière S, Kremer S, Bierry G
Radiology 2018 Jun;287(3):1073-1080. doi: 10.1148/radiol.2018160233. PMID: 29782242
Fat embolism: a rare cause of perioperative renal transplant dysfunction.
Scott J, Collin N, Baker R, Ravanan R
BMJ Case Rep 2017 Dec 7;2017 doi: 10.1136/bcr-2017-221829. PMID: 29222218Free PMC Article
Fat embolus in femur fractures: a comparison of two reaming systems.
Volgas DA, Burch T, Stannard JP, Ellis T, Bilotta J, Alonso JE
Injury 2010 Nov;41 Suppl 2:S90-3. doi: 10.1016/S0020-1383(10)70017-6. PMID: 21144937
Accidental, intravenous infusion of a peanut oil-based medication.
Seifert SA, Dart RC, Kaplan EH
J Toxicol Clin Toxicol 1998;36(7):733-6. doi: 10.3109/15563659809162624. PMID: 9865244
Priapism associated with the use of intravenous fat emulsion: case reports and postulated pathogenesis.
Klein EA, Montague DK, Steiger E
J Urol 1985 May;133(5):857-9. doi: 10.1016/s0022-5347(17)49257-3. PMID: 3921725

Prognosis

Fat Embolism After Plastic Surgery: A Case Report.
Pham MQ
Plast Aesthet Nurs (Phila) 2022 Jan-Mar 01;42(1):27-30. doi: 10.1097/PSN.0000000000000414. PMID: 36450071
Transesophageal echocardiography for detection of propagating, massive emboli during prosthetic hip fracture surgery.
Shine TS, Feinglass NG, Leone BJ, Murray PM
Iowa Orthop J 2010;30:211-4. PMID: 21046001Free PMC Article

Clinical prediction guides

Delayed onset of fat embolus in the cerebral venous system after breast and hip augmentation: a case report.
Dong W, Wan DY, Yang X, Fu M, Liu X, Li H, Xie XQ
BMC Neurol 2021 Oct 26;21(1):411. doi: 10.1186/s12883-021-02419-x. PMID: 34702212Free PMC Article
Fat embolism syndrome: Experience from an Australian trauma centre.
A K, J E, D V, LA K
Int J Orthop Trauma Nurs 2020 Feb;36:100746. Epub 2019 Oct 31 doi: 10.1016/j.ijotn.2019.100746. PMID: 31806364
Unusual finding after contrast injection of a solitary bone cyst. A case report.
Abril JC, Queiruga JA, Casas J, Albiñana J
Acta Orthop Belg 1999 Jun;65(2):235-8. PMID: 10427808
Alterations in pulmonary function, coagulation and fat metabolism in patients with fractures of the lower limbs.
Riseborough EJ, Herndon JH
Clin Orthop Relat Res 1976 Mar-Apr;(115):248-67. PMID: 1253490

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