{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T16:54:34Z","timestamp":1778691274148,"version":"3.51.4"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,6,17]],"date-time":"2022-06-17T00:00:00Z","timestamp":1655424000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Forensic Sciences"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Fat embolism syndrome is a life\u2010threatening condition in which fatty substances enter the circulation and cause respiratory distress and neurological symptoms. It can occur following trauma and severe fat embolism occurring soon after trauma is known as fulminant fat embolism syndrome. Although fat staining of the lungs is helpful for diagnosing fat embolism syndrome at autopsy, clinical and other information is needed to determine the relationship between cause of death and the syndrome. In this report, we describe the macroscopic, microscopic, and computed tomography (CT) findings specific for fat embolism that were observed in a patient with fulminant fat embolism syndrome who died soon after the injury. An 85\u2010year\u2010old woman fell from a bath stretcher during assisted bathing and died 3\u00a0h later. Autopsy revealed fractures of the left femoral neck and other bones, as well as large amounts of fat\u2010like material in the right and left pulmonary arteries. Histological examination of the lung with Oil red O staining showed extensive fat vacuoles. Based on these findings and postmortem CT images of the fractures and fatty globules in the pulmonary arteries detected prior to death, the cause of death was determined to be blunt force trauma, with fat embolism syndrome playing a significant role. This case is an example of fulminant fat embolism, which can be fatal in a short period of time, and demonstrates that CT performed postmortem but before autopsy can be useful in detecting fat embolism syndrome due to trauma.<\/jats:p>","DOI":"10.1111\/1556-4029.15083","type":"journal-article","created":{"date-parts":[[2022,6,18]],"date-time":"2022-06-18T03:34:46Z","timestamp":1655523286000},"page":"2115-2121","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["A case of fatal fulminant fat embolism syndrome following multiple fractures resulting from a fall"],"prefix":"10.1111","volume":"67","author":[{"given":"Yuichiro","family":"Hirata","sequence":"first","affiliation":[{"name":"Department of Legal Medicine, Graduate School of Medicine Chiba University  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Go","family":"Inokuchi","sequence":"additional","affiliation":[{"name":"Department of Legal Medicine, Graduate School of Medicine Chiba University  Chiba Japan"},{"name":"Department of Forensic Medicine, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeki","family":"Tsuneya","sequence":"additional","affiliation":[{"name":"Department of Legal Medicine, Graduate School of Medicine Chiba University  Chiba Japan"},{"name":"Department of Forensic Medicine, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yumi","family":"Hoshioka","sequence":"additional","affiliation":[{"name":"Department of Legal Medicine, Graduate School of Medicine Chiba University  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fumiko","family":"Chiba","sequence":"additional","affiliation":[{"name":"Department of Legal Medicine, Graduate School of Medicine Chiba University  Chiba Japan"},{"name":"Department of Forensic Medicine, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maiko","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Legal Medicine, Graduate School of Medicine Chiba University  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yohsuke","family":"Makino","sequence":"additional","affiliation":[{"name":"Department of Legal Medicine, Graduate School of Medicine Chiba University  Chiba Japan"},{"name":"Department of Forensic Medicine, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirotaro","family":"Iwase","sequence":"additional","affiliation":[{"name":"Department of Legal Medicine, Graduate School of Medicine Chiba University  Chiba Japan"},{"name":"Department of Forensic Medicine, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS\u2010D\u201017\u201000571"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1460408610396026"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102044.2001.01724.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3182208280"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373\u2010200004000\u201000020"},{"key":"e_1_2_6_7_1","first-page":"978","article-title":"Uber pulmonale fettembolie nach traumen mit verschieden langer uberlebenszeit [on pulmonary fat embolism after injuries with different periods of survival]","volume":"106","author":"Falzi G","year":"1964","journal-title":"Munch Med Wochenschr"},{"key":"e_1_2_6_8_1","first-page":"358","volume-title":"Aviation accident pathology: a study of fatalities","author":"Mason JK","year":"1962"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/PAF.0b013e31822a6428"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1925362119896351"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00414\u2010019\u201002128\u20108"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/1556\u20104029.12003"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAJ.0b013e318172f5d2"},{"issue":"4","key":"e_1_2_6_14_1","first-page":"719","article-title":"Fat embolism following intramedullary nailing; 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