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A Case of Acute Fulminant Fat Embolism Syndrome after Liposuction Surgery

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2015, v.78 no.4, pp.423-427



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Abstract

Fat embolism syndrome (FES) is a clinical manifestation that consists of multiple organ dysfunction due to fat emboli. FES occurs as a complication after trauma or procedures such as surgery. The diagnostic criteria of FES have not yetbeen established, so clinical criteria are used for its diagnosis. The clinical course of acute fulminant FES can be rapid. Liposuction surgery, in which adipocytes are mechanically disrupted, is one cause of FES. As the number of liposuctionsurgeries increases, clinicians should be aware of the possibility of FES. This was the first report of a case of acutefulminant FES with severe acute respiratory distress syndrome after liposuction surgery, in Korea.

keywords
Embolism, Fat, Lipectomy, Syndrome

Reference

1.

1. Tavilo glu K., Yanar H. (2007), Fat embolism syndrome. Surg Today, 37,5-8.

2.

2. Karagi orga G., Nakos G., Galiatsou E., Lekka ME. (2006), Biochemical parameters of bronchoalveolar lavage fluid in fat embolism. Intensive Care Med, 32,116-23.

3.

3. Parisi DM., Koval K., Egol K. (2002), Fat embolism syndrome. Am J Orthop (Belle Mead NJ), 31,507-12.

4.

4. Mellor A., Soni N. (2001), Fat embolism. Anaesthesia, 56,145-54.

5.

5. Shapir o MP., Hayes JA. (1984), Fat embolism in sickle cell disease: report of a case with brief review of the literature. Arch Intern Med, 144,181-2.

6.

6. Warthi n AS. (1913), Traumatic lipaemia and fatty embolism. Ann Arbor: University of Michigan.

7.

7. Akhtar S. (2009), Fat embolism. Anesthesiol Clin, 27,533-50.

8.

8. Baselg a J., Reich L., Doherty M., Gulati S. (1991), Fat embolism syndrome following bone marrow harvesting. Bone Marrow Transplant, 7,485-6.

9.

9. Gurd A R., Wilson RI. (1974), The fat embolism syndrome. J Bone Joint Surg Br, 56,408-16.

10.

10. Schon feld SA., Ploysongsang Y., DiLisio R., Crissman JD., Miller E., Hammerschmidt DE. (1983), Fat embolism prophylaxis with corticosteroids: a prospective study in high-risk patients. Ann Intern Med, 99,438-43.

11.

11. Malag ari K., Economopoulos N., Stoupis C., Daniil Z., Papiris S., Muller NL. (2003), High-resolution CT findings in mild pulmonary fat embolism. Chest, 123,1196-201.

12.

12. Bajur i MY., Johan RR., Shukur H. (2013), Two variants of fat embolism syndrome evolving in a young patient with multiple fractures. BMJ Case Rep, 2013,bcr2013008631.

13.

13. Pitto RP., Blunk J., Kossler M. (2000), Transesophageal echocardiography and clinical features of fat embolism during cemented total hip arthroplasty: a randomized study in patients with a femoral neck fracture. Arch Orthop Trauma Surg, 120,53- 8.

14.

14. Ward JP., Aaronson PI. (1999), Mechanisms of hypoxic pulmonary vasoconstriction: can anyone be right?, Respir Physiol, 115, 261-71.

15.

15. Ashba ugh DG., Petty TL. (1966), The use of corticosteroids in the treatment of respiratory failure associated with massive fat embolism. Surg Gynecol Obstet, 123,493-500.

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