Agarwal Arun, Sharma Madhawi, Gahlot Rahul, Agarwal Shubham, Airun Mala
Director and Head, Department of Internal Medicine, Fortis Escorts Hospital, Jaipur, Rajasthan, India, Orcid: https://orcid.org/0000-0001-6449-3914, Corresponding Author.
Lab Head, Department of Lab Medicine, Fortis Escorts Hospital, Jaipur, Rajasthan, India.
J Assoc Physicians India. 2025 Feb;73(2):97-100. doi: 10.59556/japi.73.0848.
Simultaneous acute pulmonary embolism (PE) and fat embolism syndrome (FES) in a trauma patient is very rare. Acute PE is a frequent complication and, at times, a fatal disease. Its most common presenting symptom is dyspnea, followed by chest pain and cough. FES is a rare clinical syndrome defined by the presence of fat globules in the pulmonary circulation. It can occur in a vast variety of clinical conditions, especially in those where fat is manipulated. Almost all cases of FES are due to long bone and pelvic fractures. It is essential to differentiate between FES and PE, as the management of both these conditions is altogether different. PE and FES are usually seen separately, and it is rare to have concomitant FES and PE in the same patient. There is a paucity of case reports in the literature wherein patients developed concomitant FES and PE. We present a case of a roadside traffic accident (RTA) with long bone fractures, who developed this unusual and rarer clinical entity of concomitant FES and PE in the perioperative period. Its presentation, diagnosis, and successful management are discussed, along with a literature review.
创伤患者同时发生急性肺栓塞（PE）和脂肪栓塞综合征（FES）非常罕见。急性PE是一种常见并发症，有时甚至是致命疾病。其最常见的症状是呼吸困难，其次是胸痛和咳嗽。FES是一种罕见的临床综合征，其定义为肺循环中存在脂肪球。它可发生于多种临床情况，尤其是在涉及脂肪操作的情况下。几乎所有FES病例均由长骨和骨盆骨折引起。区分FES和PE至关重要，因为这两种情况的治疗方法完全不同。PE和FES通常单独出现，同一患者同时发生FES和PE的情况很少见。文献中关于患者同时发生FES和PE的病例报告很少。我们报告一例因道路交通事故（RTA）导致长骨骨折的患者，该患者在围手术期发生了这种罕见的FES和PE并存的临床情况。本文讨论了其临床表现、诊断及成功治疗方法，并进行了文献综述。
