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Fat embolism in right internal jugular vein: incidental ultrasound finding during internal jugular vein cannulation.


ABSTRACT:

Background

We report a case study of fat embolism seen on ultrasound at right internal jugular vein during central venous cannulation in a patient diagnosed with fat embolism syndrome. This case demonstrates the importance of ultrasound for evaluation of trauma cases with suspicion of fat embolism.

Case presentation

A 23-year-old trauma patient with closed fracture of left femoral shaft and left humerus presented to our emergency department (ED). 11 h after admission to ED, patient became confused, hypoxic and hypotensive. He was then intubated for respiratory failure and mechanically ventilated. Transesophageal ultrasound revealed hyperdynamic heart, dilated right ventricle with no regional wall abnormalities and no major aorta injuries. Whole-body computed tomography was n

SUBMITTER: Adi O 

PROVIDER: S-EPMC6638602 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature