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Article
March 19, 1927

FAT EMBOLISM: A REPORT OF TWO FATAL CASES FOLLOWING ORTHOPEDIC MANIPULATION

Author Affiliations

IOWA CITY
From the Department of Pathology, State University of Iowa.

JAMA. 1927;88(12):919-921. doi:10.1001/jama.1927.02680380043017
Abstract

Fat embolism has been known since the time of Virchow. Much has been written on the subject in German. In this country it has received some attention in the literature of the last few years. Warthin,1 in 1913, published a monograph with an extensive review of the literature and a thorough discussion of the subject. Because of the difficulty of recognizing the condition clinically and the ease with which it is overlooked by the pathologist, the frequency and seriousness of this condition is probably not fully appreciated.

Frazier 2 mentions three cases of fat embolism following forcible straightening of joints (brisement forcé) which were reported in Europe. Warthin 1 collected several others, also from Europe. I am unable to find such a report in the American literature. For that reason, the two cases given here seem to me worth recording.

REPORT OF CASES 

Case 1.  —N. L., a white

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