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Postoperative complications of concomitant fat embolism syndrome, pulmonary embolism and tympanic membrane perforation after tibiofibular fracture: A case report

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World Journal of Clinical Cases 2021年第2期9卷 476-481页

作者： Jin Shao De-Ce Kong Xin-Hui Zheng Tian-Ning Chen Tie-Yi Yang Department of Orthopedics Pudong New Area Gongli HospitalSchool of Clinical MedicineShanghai UniversityShanghai 200135China Graduate School Ningxia Medical UniversityYinchuan 750004Ningxia Hui Autonomous RegionChina

BACKGROUND Fat embolism syndrome(FES)is a rare disease characterized by pulmonary distress,neurologic symptoms,and petechial rash and seriously threatens human life and *** is still neglected clinically because of the lack of verifiable diagnostic criteria and atypical clinical *** studies on FES with pulmonary embolism(PE)and tympanic membrane perforation have been reported to ***,we report a rare case of concomitant FES,PE and tympanic membrane perforation after surgery in a patient with a tibiofibular *** SUMMARY A 39-year-old man presented with right lower extremity pain due to a car accident while driving a motorbike on the road.X-ray and computed tomography scans revealed a fracture of the right mid-shaft tibia and proximal fibula categorized as a type A2 fracture according to the AO classification.A successful minimally invasive operation was performed 3 d after the ***,the patient developed sudden symptoms of respiratory distress and hearing *** diagnosis was made,and supportive treatments were used at the early stage of *** days after surgery,he presented a clear recovery from respiratory *** outcome of fracture healing was excellent,and his hearing of the left ear was mildly impaired at the last follow-up of 4 *** Concomitant FES,PE and tympanic membrane perforation are very rare but represent potentially fatal complications of trauma or orthopedic surgery and present with predominantly pulmonary *** diagnosis and treatment can reduce the mortality of FES,and prevention is better than a cure.

关键词： Fat embolism syndrome tibiofibular fracture Pulmonary embolism Tympanic membrane perforation Postoperative complication Case report

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