VI.e

Fat/oil embolism

Migration of exogenous oil or lipids or endogenous fat into the distal pulmonary microcirculation can cause a syndrome of acute coughing, hypoxemia, pulmonary hypertension, pulmonary infiltrates and/or ARDS. Neurologic or visual impairment and obtundation characterizes those cases with transpulmonary shunting of oil/fat and have a guarded prognosis. Silicone embolism (see under VIm) is a closely-related syndrome. Iodinated oil embolism, a nearly specific complication of TACE is electron-dense on imaging (better visualized on non-enhanced CT). Imaging features: PMID 23102488

Last update : 06/11/2017
 

Causative drugs

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