ArticleClinical medicine insights. Case reports2020
Epipericardial Fat Necrosis: A Case Report and a Review of the Literature.
Article in Clinical medicine insights. Case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 14 citations in OpenAlex.
- Epicardial Fat Necrosis Leading to Constrictive Pericarditis: Missed Diagnosis and Subsequent Resolution.JACC. Case reports · 2026Article
- Epipericardial Fat Necrosis in COVID-19-A Case Report.Clinical case reports · 2026Article
- Fundamentals of Acute Pericarditis: State of the Art.Arquivos brasileiros de cardiologia · 2026Review
- Epipericardial fat necrosis, the overlooked culprit behind chest pain: a case report.Journal of medical case reports · 2025Article
- Epipericardial fat necrosis: a rare case of chest pain and key learning points.Annals of medicine and surgery (2012) · 2025Article
- Article
- A twisted diagnosis of chest pain: the prominent role of coronary computed tomography.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2025Article
- Ectopic epipericardial fat necrosis: a case report.Surgical case reports · 2024Article
- Epipericardial Fat Necrosis and Covid-19.European journal of case reports in internal medicine · 2024Article
- Epipericardial fat necrosis as a differential diagnosis of acute chest pain: a case report and algorithm proposal for diagnostic approach.Einstein (Sao Paulo, Brazil) · 2023Article
- Epipericardial Fat Necrosis Incidentally Detected at Lung Cancer Screening With Low-Dose Thoracic CT.Journal of cardiovascular imaging · 2022Article
- Epipericardial Fat Necrosis: A Retrospective Analysis in Japan.Internal medicine (Tokyo, Japan) · 2022Article
- Epipericardial fat necrosis: a case report of an underdiagnosed disease.Porto biomedical journalArticle
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Epipericardial fat necrosis (EFN), also known as pericardial or mediastinal fat necrosis, has until lately been considered an unusual cause of acute chest pain. Due to increased use of computed tomography (CT) and other imaging techniques, EFN is now believed to be an under-diagnosed cause of acute chest pain. We here present a patient with a short history of acute, left-sided pleuritic chest pain and dyspnoea, with total resolution of symptoms upon few days with nonsteroidal anti-inflammatory drugs (NSAIDs) treatment. Chest X-ray showed a paracardial opacity with ipsilateral pleural effusion, echocardiography revealed features of EFN, and CT scan demonstrated the cardinal lesion of EFN-an ovoid, fat-containing paracardial mass with surrounding inflammatory stranding. There was a near to full radiological resolution in 3 weeks.
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