A member asked:

How rare is a fat embolism from a fatty liver, i'm absolutely petrified of this happening as i got my alt to normal now it's stated raising again?

2 doctors weighed in across 2 answers
Dr. John Fung answered

Specializes in General Surgery

Don't worry: Fat embolism is embolism of fat cells that is often caused by physical trauma such as fracture of long bones, soft tissue trauma, and burns. It is not caused by fatty liver. However, fatty liver is a risk factor for many things, including liver cirrhosis, liver failure and liver cancer. This condition is linked to obesity, you should worry about reducing weight by diet - avoid alcohol ; tylenol (acetaminophen).

Answered 9/28/2016

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Dr. J Roberts answered

NASH, in the DDx: Obesity and, therefore, fatty liver does not predispose to fat embolism (fe). Fe is caused by leaking bone marrow into the circulation. Nash, non-alcoholic steatohepatitis, is associated w/ fatty liver and can cause liver failure. This may explain a rising transaminase (alt, ast) level.

Answered 9/28/2016

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