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Related Experiment Videos

[Epipericardial fat necrosis - Case report].

I Peres Claro¹, V Magalhães, I Correia

¹Interna do Complementar de Pneumologia, Serviço de Pneumologia I, Hospital de Santa Maria (HSM), Centro Hospitalar Lisboa Norte (CHLN), Lisboa. mariainesclaro@gmail.com

Revista Portuguesa De Pneumologia

|July 17, 2010

Summary

Epipericardial fat necrosis is a rare, benign condition causing chest pain. Early recognition via imaging is key for diagnosis and conservative management of this self-limiting entity.

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Area of Science:

Cardiology
Thoracic Surgery
Radiology

Background:

Epipericardial fat necrosis is an uncommon benign condition with unknown etiology.
It is crucial to consider this diagnosis in patients presenting with acute pleuritic chest pain and paracardiac density or pleural effusion on chest radiography.

Observation:

A 48-year-old woman presented with fatigue, cough, and sudden left-sided pleuritic chest pain.
Chest X-ray revealed a mild/moderate left pleural effusion.
CT scan showed thickening of the pericardium and epipericardial fat with a high-density rim in the left cardiophrenic space.

Findings:

The imaging findings confirmed the diagnosis of epipericardial fat necrosis.
The patient remained stable during hospitalization and was discharged with symptomatic treatment.

Implications:

Epipericardial fat necrosis is a benign and self-limited condition.
Conservative management is the recommended treatment approach.
This case highlights the importance of considering epipericardial fat necrosis in the differential diagnosis of chest pain with associated radiographic findings.