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Epipericardial fat necrosis as a differential diagnosis of chest pain—A case report
Author(s) -
Neto Ana,
Seabra Daniel,
Moreno Nuno,
Magalhães Sara,
Pires Lindora,
Pinto Paula
Publication year - 2020
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14571
Subject(s) - medicine , chest pain , differential diagnosis , radiology , emergency department , thorax (insect anatomy) , lesion , magnetic resonance imaging , necrosis , cardiac magnetic resonance , transthoracic echocardiogram , cardiology , surgery , pathology , anatomy , psychiatry
Epipericardial fat necrosis (EFN) is an uncommon self‐limiting benign condition that can present with substantial chest pain. We present a case of an otherwise healthy 42‐year‐old man who presented with severe chest pain in the emergency department. Initial cardiopulmonary workup was unrevealing. Contrast‐enhanced thorax CT demonstrated an increased radiolucency and nodularity of anterior pericardial fat consistent with epipericardial fat necrosis. The transthoracic echocardiogram was normal, and cardiac magnetic resonance imaging confirmed the lesion. Combined anti‐inflammatory therapy was started with favorable evolution.