{Reference Type}: Case Reports
{Title}: Peripheral blood smear - An expeditious test in the preliminary diagnosis of bone marrow embolism in a case of multiple fractures: A case report.
{Author}: Rajashekar RB;Suchitha S;Shetty MS;Gowda AP;
{Journal}: Indian J Pathol Microbiol
{Volume}: 67
{Issue}: 2
{Year}: 2024 Apr 1
{Factor}: 0.773
{DOI}: 10.4103/ijpm.ijpm_394_21
{Abstract}: <B>UNASSIGNED: </B>Bone marrow embolism is known to occur after fractures of long bones such as the femur and pelvis. We report a case of multiple fractures in a 32-year-old female patient, demonstrating bone marrow elements in the peripheral blood as early as 2 hours after trauma. This is the first case being reported with an ante-mortem demonstration of circulating marrow emboli in the peripheral blood, while the previously reported cases have demonstrated the emboli in post-mortem examination. A careful correlation of the clinical history of trauma, hematology auto-analyzer results, and the presence of bone marrow particles and fat globules in peripheral blood helped in arriving at the diagnosis of fat embolism in our case irrefutably.