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Síndrome de embolia gordurosa: relato de caso associado à lipoaspiração Fat embolism syndrome: report of a case associated to liposuction

By Jõao Carlos Folador, Gabriela Elisete Bier, Renata Ferreira de Camargo and Mônicca Sperandio

Abstract

Mulher, 40 anos, 72 horas após lipossucção apresentou dispnéia súbita, febre, taquipnéia e taquicardia. Radiografia torácica e eco-doppler de membros inferiores eram normais, mas hipoperfusão pulmonar à cintilografia sugeriu tromboembolismo pulmonar. Após três dias de heparinização, observou-se hipóxia, anemia e confusão mental. Diagnosticou-se síndrome de embolia gordurosa, suspendeu-se heparinização e iniciou-se pulsoterapia com corticóide, seguida de melhora clínica e alta hospitalar.<br>A forty year old woman, 72 hours after liposuction, complained of sudden dyspnea, fever and tachycardia. Thoracic radiography and duplex-scan of deep veins were normal. Pulmonary scintigraphy suggested thromboembolism. The patient had hypoxia, anemia and mental confusion after three days of systemic heparin. Once fat embolism syndrome was suspected, heparin infusion was stopped and corticosteroid therapy was started. After that, the patient was much better and discharged from hospital

Topics: Síndrome de embolia gordurosa, Tromboembolismo pulmonar, Lipoaspiração, Fat embolism syndrome, Pulmonary thromboembolism, Liposuction, Diseases of the respiratory system, RC705-779, Specialties of internal medicine, RC581-951, Internal medicine, RC31-1245, Medicine, R, DOAJ:Internal medicine, DOAJ:Medicine (General), DOAJ:Health Sciences
Publisher: Sociedade Brasileira de Pneumologia e Tisiologia
Year: 1999
DOI identifier: 10.1590/S0102-35861999000200008
OAI identifier: oai:doaj.org/article:eaa11ee5aa354d28980411f20dccfec2
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