We report a case of fat embolism following self injection of vegetable
oil in the penis, to treat an impotence. The patient developed respir
atory failure and neurological disorders as confusion. A chest roentge
nogram revealed diffuse alveolar infiltrate. Initially, he presented a
n hemoconcentration, and fat globules in his urine. The outcome was fa
vourable in 72 hours, with oxygen and hydration. The diagnosis of fat
embolism was made after neurological improvement : the patient admitte
d to injecting his penis with vegetable oil, in his corpus cavernosum.