Author/Authors :
Razuin, R University Technology MARA - Faculty of Medicine, Centre for Pathology Diagnostic and Research Laboratories, Malaysia , Effat, O University Technology MARA - Faculty of Medicine, Institute of Medical Molecular Biotechnology, Malaysia , Shahidan, MN Hospital Sungai Buloh - Department of Forensic Medicine, Malaysia , Shama, DV Hospital Sungai Buloh - Department of Forensic Medicine, Malaysia , Miswan, MFM University Technology MARA - Faculty of Medicine, Centre for Orthopaedics and Traumatology, Malaysia
Abstract :
Bone cement implantation syndrome (BCIS) is characterized by hypoxia, hypotension, cardiac arrhythmias, increased pulmonary vascular resistance and cardiac arrest. It is a known cause of morbidity and mortality in patients undergoing cemented orthopaedic surgeries. The rarity of the condition as well as absence of a proper definition has contributed to under-reporting of cases. We report a 59-year-old woman who sustained fracture of the neck of her left femur and underwent an elective hybrid total hip replacement surgery. She collapsed during surgery and was revived only to succumb to death twelve hours later. Post mortem findings showed multiorgan disseminated microembolization of bone marrow and amorphous cement material.
Keywords :
Bone cement implantation syndrome , BCIS , microembolism , fracture
