Department of Emergency Medicine, Security Forces Hospital, Riyadh, Saudi Arabia.
Department of Radiology, McGill University Health Center, Montreal, Canada.
J Radiol Case Rep. 2020 May 31;14(5):16-24. doi: 10.3941/jrcr.v14i5.3971. eCollection 2020 May.
This is a case report of a 13-year-old male, presented to the Emergency Department complaining of a sudden onset left-sided pleuritic chest pain for 1 day. He was found to have a mass in the left Epipericardial fat with fat stranding and pleural effusion supporting the diagnosis of Epipericardial Fat Necrosis. The findings were established by Computed tomography and Ultrasound, and the final diagnosis was confirmed by Magnetic resonance imaging. Subsequently, the patient was discharged on analgesia; reassessment one-month later showed clinical improvement with no symptom recurrence. Repeated Ultrasound demonstrated a marked decrease in size and echogenicity of the mass. In this paper we review the clinical and radiological manifestations of Epipericardial fat necrosis and the different management approaches taken over the years.
这是一例 13 岁男性病例报告，因突发左侧胸膜炎性胸痛 1 天就诊于急诊科。患者左侧心包外脂肪内发现肿块，伴有脂肪条纹和胸腔积液，支持心包外脂肪坏死的诊断。计算机断层扫描和超声检查发现了这些特征，磁共振成像最终确诊了该疾病。随后，患者接受了镇痛治疗出院；一个月后的再次评估显示临床症状有所改善，且无症状复发。重复超声检查显示肿块大小和回声强度明显降低。本文回顾了心包外脂肪坏死的临床和影像学表现，以及多年来采取的不同治疗方法。
