A Lethal Case of Fat Embolism Syndrome in a Nine-Year-Old Child: Options for Prevention

Pascal H E Teeuwen, Pim C E J Sloots, Ivo de Blaauw, Rene Wijnen, Jan Biert
European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society 2009, 35 (3): 311-3
We report a lethal case of fat embolism syndrome in a nine-year-old child after a direct blunt trauma leading to a pelvic fracture. On the second day, signs of bowel perforation and septic shock led to an acute aggravation of the pulmonary symptoms, cardiac arrest and death. Fat embolism is seldom thought to occur in pediatric trauma patients; however, this case illustrates it can lead to disastrous sequela. Since there is no specific treatment for it, prevention by early fracture stabilization is the only option.

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