A case of life-threatening intraoperative diffuse alveolar hemorrhage during a femur fracture operation with suspected fat embolism: A case report
10.17085/apm.2018.13.1.77
- Author:
Jong Hui SUH
1
;
Bum Sik LEE
;
Soon Ju BAEK
;
Soo Kyung PARK
;
Eun Jung CHO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.
- Publication Type:Case Report
- Keywords:
Diffuse alveolar hemorrhage;
Embolism;
Long bone fracture
- MeSH:
Aged;
Cardiopulmonary Resuscitation;
Death, Sudden, Cardiac;
Early Diagnosis;
Embolism;
Embolism, Fat;
Female;
Femur;
Fractures, Bone;
Glass;
Heart Ventricles;
Hemorrhage;
Humans;
Mortality;
Pulmonary Artery;
Thorax;
Ventilators, Mechanical
- From:Anesthesia and Pain Medicine
2018;13(1):77-81
- CountryRepublic of Korea
- Language:English
-
Abstract:
Diffuse alveolar hemorrhage (DAH) is a rare manifestation of trauma or long bone fracture. A relationship between fat embolism and DAH has been reported. A 73-year-old female developed sudden cardiac arrest during a femur fracture operation. Cardiopulmonary resuscitation (CPR) was repeated for about 130 minutes. During CPR, blood was detected in the endotracheal tube. Diffuse patch ground glass opacity appearance and increased pulmonary artery with bulging of interventricular septum toward the left ventricle were detected on a chest computed tomography scan. After full supportive care including ventilator therapy, the patient's condition became stabilized and she was extubated after 7 days. We report a case of DAH in the course of a suspected fat embolism during femur fracture operation. Although DAH is a rare manifestation of fat embolism, early diagnosis and aggressive treatment likely can decrease morbidity and mortality.
