 |
Case Report
Fracture of the tibia and fibula in a car accident with cerebral fat embolism syndrome (FES): A case report
1 Undergraduate Student of Medicine at Universidade do Estado de Mato Grosso (UNEMAT), Cáceres, Mato Grosso, Brazil
2 Radiologist, Hospital Santa Isabel, Ubá, Minas Gerais, Brazil
3 Neurosurgeon Doctor at Santa Isabel Hospital in Ubá, Minas Gerais, Brazil
4 Neurologist and Emergency Physician at Santa Isabel Hospital in Ubá, Minas Gerais, Brazil
5 Physician, Neurologist, Adjunct Professor of Medicine at Universidade Iguaçu, Iguaçu University – UNIG/RJ; Caduceu Institute of Medical Programs/SP, Brazil
6 Physician, Neurologist, PhD Student in Neurology at the Federal University of the State of Rio de Janeiro – UNIRIO, Adjunct Professor of the Medicine Course at the Iguaçu University, Iguaçu University – UNIG/RJ, Nova Iguaçu, Brazil
Address correspondence to:
Antônio Marcos da Silva Catharino
Rua Gavião Peixoto 70, Room 811, CEP 24.2230-100, Icaraí, Niterói-RJ,
Brazil
Message to Corresponding Author
Article ID: 101217Z01FS2021
Access full text article on other devices
Access PDF of article on other devices
How to cite this article
Souza FDS, de Paula RA, Júnior JB, Rivelli ÁM, Orsini M, da Silva Catharino AM. Fracture of the tibia and fibula in a car accident with cerebral fat embolism syndrome (FES): A case report. Int J Case Rep Images 2021;12:101217Z01FS2021.ABSTRACT
Introduction: Fat embolism is defined by the presence of fat globules in the pulmonary circulation. The term fat embolism syndrome (FES) refers to the clinical syndrome that follows an identifiable insult that releases fat into the circulation, resulting in pulmonary and systemic symptoms.
Case Report: We report a case of a 28-year-old male, victim of a medium impact collision presenting long bone fractures (tibia and fibula) evolving with fat embolism syndrome (FES).
Conclusion: Almost all cases of FES are due to fractures of long and pelvic bones (the bone marrow contains a high fat content). However, some cases are associated with trauma in the absence of orthopedic fractures and rare cases are not related to trauma. In this sense, it is important to present a case in a polytrauma emergency unit that requires quick and assertive attention to the patient’s clinical management and stabilization, in addition to the importance of the intervention of the neurology and neurosurgery team.
Keywords: Long bone fracture, Case report, Fat embolism syndrome
SUPPORTING INFORMATION
Acknowledgments
Thanks to the emergency team (nurses, nursing technicians, and doctors) at Hospital Santa Isabel in Ubá, Minas Gerais.
Author ContributionsFelipe dos Santos Souza - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Rafael Alfenas de Paula - Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
José Batista Júnior - Acquisition of data, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Álvaro Moreira Rivelli - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Marco Orsini - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Antônio Marcos da Silva Catharino - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Felipe dos Santos Souza et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
