A 58 years old man suffered road traffic accident and came to the hospital. He had multiple fractures in his lower limbs, ribs and lung contusion. Ultimately he succumbed to his injuries. At autopsy, a biopsy from the lung showed the following appearance. What is the most likely cause of his death?
Congestive heart failure
Ans: C. Fat embolism
(Ref: Robbins 9/e p128; Apley’s 9/e p681, 8/e 535-536, Rockwood 6/e p553).
- Suggestive of fat embolism.
- Fat embolism occurs in some 90% of individuals with severe skeletal injuries, but less than 10% of such patients have any clinical findings.