MRI findings of epipericardial fat necrosis: As a rare cause of acute chest pain in a healthy man

Epipericardial fat necrosis (EPFN) is a rare, benign cause of acute chest pain imitating symptoms of life-threatening diseases, such as acute coronary syndrome. Here We report a 37-year-old, healthy male presented to the emergency department (ED) with sudden-onset pleuritic chest pain after an isome...

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Main Authors: Moezedin Javad Rafiee, MD, Mahya Khaki, MD, Leila Haririsanati, MD, Faranak Babaki Fard, MD, Michael Chetrit, MD, FACC., Matthias G. Friedrich, MD, FESC, FACC
Format: Article
Language:English
Published: Elsevier 2022-07-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322003004
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author Moezedin Javad Rafiee, MD
Mahya Khaki, MD
Leila Haririsanati, MD
Faranak Babaki Fard, MD
Michael Chetrit, MD, FACC.
Matthias G. Friedrich, MD, FESC, FACC,
author_facet Moezedin Javad Rafiee, MD
Mahya Khaki, MD
Leila Haririsanati, MD
Faranak Babaki Fard, MD
Michael Chetrit, MD, FACC.
Matthias G. Friedrich, MD, FESC, FACC,
author_sort Moezedin Javad Rafiee, MD
collection DOAJ
description Epipericardial fat necrosis (EPFN) is a rare, benign cause of acute chest pain imitating symptoms of life-threatening diseases, such as acute coronary syndrome. Here We report a 37-year-old, healthy male presented to the emergency department (ED) with sudden-onset pleuritic chest pain after an isometric physical training. Initial cardiac workup included ECG, echocardiography was unremarkable, but diagnosis of an inflammatory process that involved the epipericardial fat tissue surrounding the heart was made by showing encapsulated fatty lesion, enhanced adjacent parietal pericardium using of contrast‐enhanced magnetic resonance imaging (MRI). Magnetic resonance imaging would help physicians to differentiate EPFN from severe and life-treating conditions.
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spelling doaj.art-e0999f849fc44c58aa8bdedc955a7e502022-12-22T00:39:25ZengElsevierRadiology Case Reports1930-04332022-07-0117724882491MRI findings of epipericardial fat necrosis: As a rare cause of acute chest pain in a healthy manMoezedin Javad Rafiee, MD0Mahya Khaki, MD1Leila Haririsanati, MD2Faranak Babaki Fard, MD3Michael Chetrit, MD, FACC.4Matthias G. Friedrich, MD, FESC, FACC,5Department of medicine and radiology, McGill University Health Centre, 1001 boul. Decarie, Montreal QC H4A3J1, Montreal, Québec, Canada; Research Institute, McGill University Health Centre, 1001 boul. Decarie, Montreal QC H4A3J1, Montreal, Québec, Canada; Corresponding author.Research Institute, McGill University Health Centre, 1001 boul. Decarie, Montreal QC H4A3J1, Montreal, Québec, CanadaResearch Institute, McGill University Health Centre, 1001 boul. Decarie, Montreal QC H4A3J1, Montreal, Québec, CanadaFaculty of Medicine, University of Montreal, 2900 Boulevard Édouard-Montpetit, Montréal QC H3T 1J4, Montreal, Québec, CanadaDepartment of medicine, Division of cardiology, McGill University Health Centre, Montreal, Québec, Canada, 1001 boul. Decarie, Montreal QC H4A3J1Department of medicine and radiology, McGill University Health Centre, 1001 boul. Decarie, Montreal QC H4A3J1, Montreal, Québec, CanadaEpipericardial fat necrosis (EPFN) is a rare, benign cause of acute chest pain imitating symptoms of life-threatening diseases, such as acute coronary syndrome. Here We report a 37-year-old, healthy male presented to the emergency department (ED) with sudden-onset pleuritic chest pain after an isometric physical training. Initial cardiac workup included ECG, echocardiography was unremarkable, but diagnosis of an inflammatory process that involved the epipericardial fat tissue surrounding the heart was made by showing encapsulated fatty lesion, enhanced adjacent parietal pericardium using of contrast‐enhanced magnetic resonance imaging (MRI). Magnetic resonance imaging would help physicians to differentiate EPFN from severe and life-treating conditions.http://www.sciencedirect.com/science/article/pii/S1930043322003004Magnetic resonance imaging (MRI)Computed tomography (CT)Chest painPericardiumFat necrosis
spellingShingle Moezedin Javad Rafiee, MD
Mahya Khaki, MD
Leila Haririsanati, MD
Faranak Babaki Fard, MD
Michael Chetrit, MD, FACC.
Matthias G. Friedrich, MD, FESC, FACC,
MRI findings of epipericardial fat necrosis: As a rare cause of acute chest pain in a healthy man
Radiology Case Reports
Magnetic resonance imaging (MRI)
Computed tomography (CT)
Chest pain
Pericardium
Fat necrosis
title MRI findings of epipericardial fat necrosis: As a rare cause of acute chest pain in a healthy man
title_full MRI findings of epipericardial fat necrosis: As a rare cause of acute chest pain in a healthy man
title_fullStr MRI findings of epipericardial fat necrosis: As a rare cause of acute chest pain in a healthy man
title_full_unstemmed MRI findings of epipericardial fat necrosis: As a rare cause of acute chest pain in a healthy man
title_short MRI findings of epipericardial fat necrosis: As a rare cause of acute chest pain in a healthy man
title_sort mri findings of epipericardial fat necrosis as a rare cause of acute chest pain in a healthy man
topic Magnetic resonance imaging (MRI)
Computed tomography (CT)
Chest pain
Pericardium
Fat necrosis
url http://www.sciencedirect.com/science/article/pii/S1930043322003004
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