Peripheral blood smear – An expeditious test in the preliminary diagnosis of bone marrow embolism in a case of multiple fractures: A case report
Bone marrow embolism is known to occur after fractures of long bones such as the femur and pelvis. We report a case of multiple fractures in a 32-year-old female patient, demonstrating bone marrow elements in the peripheral blood as early as 2 hours after trauma. This is the first case being reporte...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-04-01
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| Series: | Indian Journal of Pathology and Microbiology |
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| Online Access: | https://journals.lww.com/10.4103/ijpm.ijpm_394_21 |
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| author | Rajalakshmi B. Rajashekar S Suchitha Mahesh S Shetty Apoorva P. Gowda |
| author_facet | Rajalakshmi B. Rajashekar S Suchitha Mahesh S Shetty Apoorva P. Gowda |
| author_sort | Rajalakshmi B. Rajashekar |
| collection | DOAJ |
| description | Bone marrow embolism is known to occur after fractures of long bones such as the femur and pelvis. We report a case of multiple fractures in a 32-year-old female patient, demonstrating bone marrow elements in the peripheral blood as early as 2 hours after trauma. This is the first case being reported with an ante-mortem demonstration of circulating marrow emboli in the peripheral blood, while the previously reported cases have demonstrated the emboli in post-mortem examination. A careful correlation of the clinical history of trauma, hematology auto-analyzer results, and the presence of bone marrow particles and fat globules in peripheral blood helped in arriving at the diagnosis of fat embolism in our case irrefutably. |
| format | Article |
| id | doaj-art-fb2453babc25461b8655bbc0e3f0d5db |
| institution | OA Journals |
| issn | 0377-4929 0974-5130 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Pathology and Microbiology |
| spelling | doaj-art-fb2453babc25461b8655bbc0e3f0d5db2025-08-20T02:14:24ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49290974-51302024-04-0167240841010.4103/ijpm.ijpm_394_21Peripheral blood smear – An expeditious test in the preliminary diagnosis of bone marrow embolism in a case of multiple fractures: A case reportRajalakshmi B. RajashekarS SuchithaMahesh S ShettyApoorva P. GowdaBone marrow embolism is known to occur after fractures of long bones such as the femur and pelvis. We report a case of multiple fractures in a 32-year-old female patient, demonstrating bone marrow elements in the peripheral blood as early as 2 hours after trauma. This is the first case being reported with an ante-mortem demonstration of circulating marrow emboli in the peripheral blood, while the previously reported cases have demonstrated the emboli in post-mortem examination. A careful correlation of the clinical history of trauma, hematology auto-analyzer results, and the presence of bone marrow particles and fat globules in peripheral blood helped in arriving at the diagnosis of fat embolism in our case irrefutably.https://journals.lww.com/10.4103/ijpm.ijpm_394_21bone marrow embolismfractureperipheral blood |
| spellingShingle | Rajalakshmi B. Rajashekar S Suchitha Mahesh S Shetty Apoorva P. Gowda Peripheral blood smear – An expeditious test in the preliminary diagnosis of bone marrow embolism in a case of multiple fractures: A case report Indian Journal of Pathology and Microbiology bone marrow embolism fracture peripheral blood |
| title | Peripheral blood smear – An expeditious test in the preliminary diagnosis of bone marrow embolism in a case of multiple fractures: A case report |
| title_full | Peripheral blood smear – An expeditious test in the preliminary diagnosis of bone marrow embolism in a case of multiple fractures: A case report |
| title_fullStr | Peripheral blood smear – An expeditious test in the preliminary diagnosis of bone marrow embolism in a case of multiple fractures: A case report |
| title_full_unstemmed | Peripheral blood smear – An expeditious test in the preliminary diagnosis of bone marrow embolism in a case of multiple fractures: A case report |
| title_short | Peripheral blood smear – An expeditious test in the preliminary diagnosis of bone marrow embolism in a case of multiple fractures: A case report |
| title_sort | peripheral blood smear an expeditious test in the preliminary diagnosis of bone marrow embolism in a case of multiple fractures a case report |
| topic | bone marrow embolism fracture peripheral blood |
| url | https://journals.lww.com/10.4103/ijpm.ijpm_394_21 |
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