Three children had prolonged lipuria following femoral fracture. One case was further complicated by the bilateral development of urostealiths, rarely described fatty "calculi," with renal colic and hematuria. All patients are now asymptomatic. The observations in these three cases tend to support the concept that fat emboli are common following bone trauma. The emboli generally do not cause loss of renal function, and the diagnosis can be made by demonstration of lipids in the urine.
Wagman E, Barbara A, Marquis J, Chirls M, Falla A. Renal Fat Embolization and Urostealith Formation Complicating Femoral Fracture. JAMA. 1966;198(7):721–723. doi:10.1001/jama.1966.03110200077022
* * SCHEDULED MAINTENANCE * *
The JAMA Network Sites will be conducting routine maintenance from 10/20/2017 through 10/21/2017. During this window access to content and authentication may be intermittently available. The JAMA Store will be completely unavailable during the maintenance window.