Rafiee Moezedin Javad, Khaki Mahya, Haririsanati Leila, Fard Faranak Babaki, Chetrit Michael, Friedrich Matthias G
Department 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.
Radiol Case Rep. 2022 May 9;17(7):2488-2491. doi: 10.1016/j.radcr.2022.04.013. eCollection 2022 Jul.
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.
心外膜脂肪坏死（EPFN）是一种罕见的良性急性胸痛病因，可模仿危及生命的疾病症状，如急性冠状动脉综合征。在此，我们报告一名37岁健康男性，在进行等长体育训练后突发胸膜炎性胸痛，前往急诊科就诊。初始心脏检查包括心电图，超声心动图无异常，但通过增强磁共振成像（MRI）显示有包膜的脂肪病变以及相邻的心包壁层强化，诊断为累及心脏周围心外膜脂肪组织的炎症过程。磁共振成像有助于医生将EPFN与严重的、危及生命的疾病区分开来。
