Chest
Selected ReportsFat Embolism Syndrome and Pulmonary Microvascular Cytology
Section snippets
Case Report
A 23-year-old woman was admitted to the hospital after severe trauma from a car accident. At the time of admission she showed normal vital signs except a heart rate of 140 beats/min (bpm); neurologic examination demonstrated a Glasgow coma score of 15. Trauma to both legs was evident, with fractures in right femur, right tibia, and left patella. A diagnostic peritoneal lavage was positive and she was taken to the operating room where two hepatic lacerations were sutured. The patella fracture
Discussion
Pulmonary microvascular cytology is a new technique that samples capillary lung blood obtained from a wedged Swan-Ganz catheter.11 Its usefulness has been shown in diagnosing a few cases of amniotic fluid embolism.11, 12, 13 Despite some discussion,14 Masson et al11, 15 proposed capillary blood sampling as a useful diagnostic procedure in lymphangitic carcinomatosis of the lung and established it showed malignant cells in seven of eight samples from patients with lymphangitic spread of
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