Open AccessEpipericardial Fat Necrosis in a Pediatric Patient Diagnosed Using Contrast-Enhanced MRI Findings: A Case Report and Literature Review
Author(s) -
Seong Ju Kim,
Byoung Hee Han,
Young-Jong Cho,
Dae Shick Ryu,
Ga Young Yoon,
Wooyul Paik,
Young Rae Kim
Publication year - 2022
Publication title -
daehan yeongsang uihak hoeji/daehan yeongsang ui haghoeji
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.126
H-Index - 3
eISSN - 2288-2928
pISSN - 1738-2637
DOI - 10.3348/jksr.2021.0157
Subject(s) - medicine , radiology , medical diagnosis , differential diagnosis , magnetic resonance imaging , contrast (vision) , pathology , artificial intelligence , computer science
Epipericardial fat necrosis (EPFN) is a relatively rare cause of acute chest pain, with only five pediatric cases having been reported in the English-language medical literature to date. EPFN can be diagnosed based on the clinical symptoms of acute pleuritic chest pain and classic CT features of typically ovoid fatty lesions surrounded by a rim or capsule in the mediastinal or pericardial areas. Previous studies have reported that contrast-enhanced MRI can detect typical fat signal changes in adults with EPFN. We report a pediatric EPFN case diagnosed using gadolinium-enhanced MRI. Thus, contrast-enhanced MRI may be used to confirm EPFN in the differential diagnoses of the causes of acute chest pain.