Surgery Today

, Volume 37, Issue 1, pp 5–8 | Cite as

Fat Embolism Syndrome

  • Korhan Taviloglu
  • Hakan Yanar
Article

Abstract

Fat embolism syndrome (FES) was first described in 1862, but its frequency today is still unclear. A diagnosis of FES is often missed because of a subclinical illness or coexisting confusing injuries or disease. Fat embolism syndrome develops most commonly after orthopedic injuries, but it has also been reported after other forms of trauma such as severe burns, liver injury, closed-chest cardiac massage, bone marrow transplantation, and liposuction. Although FES usually presents as a multisystem disorder, the most seriously affected organs are the lung, brain, cardiovascular system, and skin. Fat embolism syndrome is a self-limiting disease and treatment should be mainly supportive. Many drugs have been used to treat FES, but the results are inconclusive.

Key words

Fat embolism syndrome Fat embolism Blunt trauma Fracture complication 

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References

  1. 1.
    Zenker, FA 1861Beitrage zur anatomie und physiologic der lungeBraunsdorfDresdenGoogle Scholar
  2. 2.
    Parisi, DM, Koval, K, Egol, K 2002Fat embolism syndromeAm J Orthop3150712PubMedGoogle Scholar
  3. 3.
    Al-Khuwaitir, TS, Al-Moghairi, AM, Sherbeeni, SM, Subh, HM 2002Traumatic fat embolism syndromeSaudi Med J2315326PubMedGoogle Scholar
  4. 4.
    Platt, MS, Kohler, LJ, Ruiz, R, Cohle, SD, Ravichandran, P 2002Deaths associated with liposuction: case reports and review of the literatureJ Forensic Sci472057PubMedGoogle Scholar
  5. 5.
    Jenkins, K, Chung, F, Wennberg, R, Etchells, EE, Davey, R 2002Fat embolism syndrome and elective knee arthroplastyCan J Anaesth491924PubMedCrossRefGoogle Scholar
  6. 6.
    Choi, JA, Oh, YW, Kim, HK, Kang, KH, Choi, YH, Kang, EY 2002Nontraumatic pulmonary fat embolism syndrome: radiologic and pathologic correlationsJ Thorac Imaging171679PubMedCrossRefGoogle Scholar
  7. 7.
    Bulger, EM, Smith, DG, Maier, RV, Jurkovich, GJ 1997Fat embolism syndrome. A 10-year reviewArch Surg1324359PubMedGoogle Scholar
  8. 8.
    Robert, JH, Hoffmeyer, P, Broquet, P-E, Cerutti, P, Vasey, H 1993Fat embolism syndromeOrthop Rev2256771PubMedGoogle Scholar
  9. 9.
    Fabian, TC, Hoots, AV, Stanford, DS, Patterson, DS, Patterson, CR, Mangiante, EC 1990Fat embolism syndrome: prospective evaluation in 92 fractures patientsCrit Care Med18426PubMedCrossRefGoogle Scholar
  10. 10.
    Kallenbach, J, Lewis, M, Zaltzman, M, Feldman, C, Orford, A, Zwi, S 1987“Low-dose” corticosteroid prophylaxis against fat embolismJ Trauma2711736PubMedGoogle Scholar
  11. 11.
    Lindeque, BGP, Schoeman, HS, Dommisse, GF, Dommisse, HS, Boeyens, MC, Vlok, AL 1987Fat embolism and the fat embolism syndrome. A double-blind therapeutic studyJ Bone Joint Surg Br6912831PubMedGoogle Scholar
  12. 12.
    Schonfeld, SA, Ploysongsang, Y, DiLisio, R, Crissman, JD, Miller, JD, Hammerschmidt, DE,  et al. 1983Fat embolism prophylaxis with corticosteroids. A prospective study in high-risk patientsAnn Intern Med9943843PubMedGoogle Scholar
  13. 13.
    Bergman, EB 1873Ein fall todlicher fettembolieKlin Wochenschr103857Google Scholar
  14. 14.
    Gurd, AR 1970Fat embolism: an aid to diagnosisJ Bone Joint Surg Br527327PubMedGoogle Scholar
  15. 15.
    Johnson, MJ, Lucas, GL 1996Fat embolism syndromeOrthopedics194150PubMedGoogle Scholar
  16. 16.
    Mellor, A, Soni, N 2001Fat embolismAnaesthesia5614554PubMedCrossRefGoogle Scholar
  17. 17.
    Chan, KM, Tham, KT, Chiu, HS, Chow, KM, Leung, PC 1984Post traumatic fat embolism: Its clinical and subclinical presentationsJ Trauma2445PubMedCrossRefGoogle Scholar
  18. 18.
    Gossling, HR, Pellegrin, VD 1982Fat embolism syndrome. A review of the pathophysiology and physiological basis of treatmentClin Orthop1656882PubMedGoogle Scholar
  19. 19.
    Gurd, AR, Wilson, RI 1974The fat embolism syndromeJ Bone Joint Surg Br56-B40816Google Scholar
  20. 20.
    Adams, CB 1971The retinal manifestations of fat embolismInjury2221PubMedCrossRefGoogle Scholar
  21. 21.
    Peltier, LF 1984The classic fat embolism. An appraisal of the problemClin Orthop Rel Res187317Google Scholar

Copyright information

© Springer-Verlag Tokyo 2007

Authors and Affiliations

  • Korhan Taviloglu
    • 1
  • Hakan Yanar
    • 1
  1. 1.Department of Surgery, Trauma and Emergency Medicine Service, Istanbul Faculty of MedicineIstanbul UniversityIstanbulTurkey

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