Death due to a rare posttraumatic complication: fat embolism
Journal Title: Revista de Medicină Militară - Year 2019, Vol 0, Issue 2
Abstract
Fat embolism is a rare complication of high or medium intensity trauma. It is caused by the formation of fat particles in the territories of small terminal circulation, especially at pulmonary, tegumentary and cerebral levels. The mechanism underlying the fat embolism is described by several different theories in the literature. In legal medicine, fat embolism raises many controversies upon the diagnostic certainty of the thanatogenerator mechanism leading to death. The occurrence of fat embolism syndrome followed by death must be properly explained so that the fatality can be adequately framed from a legal point of view. In this paper, the authors present three cases in which victims of trauma died due to clinically undiagnosed fat embolism, the diagnosis is established only by postmortem histopathological examination. The authors underline the fact that the diagnosis of fat embolism syndrome, although it is a clinical one, it is often established only during an autopsy.
Authors and Affiliations
Cristina Podila, Mihaela Somlea, Bogdan Buhas, Adrian Judea, Andreea Hlescu, Nicolae Nicoara, Flavia Sandoiu, Paula Marian, Bianca Hanganu, Irina Manoilescu
Keywords
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