[A case of delayed fat embolism after a vertebral osteosynthesis].
A 37-year-old woman presented an acute respiratory distress syndrome six days after a post-traumatic vertebral osteosynthesis. First, a pulmonary embolism was suspected, and a thrombolysis realised. This diagnosis was secondary excluded, and the diagnosis of probable fatty embolism was established by the bronchoalveolar lavage. So, this case shows a delayed presentation of fatty embolism and permits a discussion about clinical presentation, and diagnosis methods of such pathology.
Diconne
E
E
Service de réanimation, hôpital Bellevue, CHU de Saint-Etienne, France. ericdiconne@yahoo.fr
Abdellaoui
L
L
Lutz
M F
MF
Molliex
S
S
Zeni
F
F
D000208:Acute Disease; D000328:Adult; D001992:Bronchoalveolar Lavage Fluid; D004452:Echocardiography; D004620:Embolism, Fat / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D019637:Orthopedic Procedures; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology*; D012128:Respiratory Distress Syndrome; D012129:Respiratory Function Tests; D013124:Spinal Injuries / Q000601:surgery*; D013131:Spine / Q000601:surgery*