case_images: PMC11625105_01
case_images: (A) Initial preoperative plain radiograph of the right femur (anteroposterior view) showing a femoral shaft fracture with medial displacement (white arrow). (B) Postoperative plain radiograph (anteroposterior view) showing open reduction and internal fixation of the right femur using 2 plates and screw fixation (yellow arrow).
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case_images: PMC11625105_01_gr1.jpg
case_images: fig0001
case_images: A plain X-ray was taken and the diagnosis was confirmed as a femoral shaft fracture with medial displacement (Fig. 1). Screws were inserted to secure the plates and achieve stable fixation (Fig. 1).
case_images: CT angiography of the lungs: (A) Sagittal view, (B) Axial view, (C) Coronal view. No evidence of pulmonary thromboembolism (PTE) or any other complications, including fat embolism syndrome (FES), was observed.
case_images: gr2.jpg
case_images: PMC11625105_01_gr2.jpg
case_images: fig0002
case_images: The CT angiography was normal without any significant findings regarding pulmonary thromboembolism (PTE) (Fig. 2).
case_images: (A and B) Petechial lesions and purpura on the neck and chest (red arrows).
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case_images: PMC11625105_01_gr3.jpg
case_images: fig0003
case_images: Twelve hours later, the patient developed petechial lesions and purpura on the neck, chest, and right lower limb (Fig. 3, Fig. 4).