Epipericardial fat necrosis
  • Yumi Otaka
    Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Mibu, Tochigi, Japan
  • Yukinori Harada
    Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Mibu, Tochigi, Japan
  • Ren Kawamura
    Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Mibu, Tochigi, Japan
  • Taro Shimizu
    Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Mibu, Tochigi, Japan

Keywords

Epipericardial fat necrosis, chest pain, mediastinal tumour

Abstract

Introduction: Epipericardial fat necrosis (EFN) is a relatively rare benign disease that causes acute chest pain.

Case Description: A woman in her 20s presented with acute left shoulder and epigastric pain. One day before presentation, she had visited a cardiologist and an acute coronary syndrome had been ruled out. The pain worsened with deep inspiration. Chest computed tomography (CT) showed a soft-tissue attenuation lesion containing a fatty centre located in the epipericardial fat at the left cardiophrenic angle. Hence, EFN was diagnosed and the pain was resolved with loxoprofen. The lesion had disappeared on a follow-up chest CT scan.

Discussion: EFN is a rare benign disease that causes acute chest pain. Approximately 70–90% of EFN cases are misdiagnosed by clinicians as other diseases.

Conclusion: In patients with acute chest pain, the correct diagnosis of EFN avoids unnecessary invasive investigations and reassures patients.

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References

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    Published: 2023-03-18
    Issue: 2023: Vol 10 No 3 (view)


    How to cite:
    1.
    Otaka Y, Harada Y, Kawamura R, Shimizu T. Epipericardial fat necrosis. EJCRIM 2023;10 doi:10.12890/2023_003823.

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