[Clinical Picture] Cerebral fat embolism after bone fractures
After a forklift accident, a 44-year-old man was admitted to our hospital in July, 2014, with fractures of the right fibula and tibia, the left femur, and the pelvis. A proximal femoral nail antirotation was done to stabilise the left femur. 1 h after the operation, he developed acute respiratory failure, requiring reintubation and admission to the intensive-care unit. CT angiography of the thorax showed bilateral ground-glass opacities and distinct nodular opacities (figure), without pulmonary embolism or aspiration.