Case report: epipericardial fat necrosis-a rare cause of chest pain.

ABSTRACT:

Background

Epipericardial fat necrosis (EFN) is a rare cause of chest pain, which is often unrecognized.

Case summary

A 58-year-old man previously known with a transient ischaemic attack presented with a sharp, substernal chest pain. Pulmonary embolism was ruled out by computed tomography (CT) angiography. However, CT angiography revealed an inhomogeneous epipericardial mass. On cardiovascular magnetic resonance imaging, the mass had an inhomogeneous signal intensity without infiltration of surrounding tissue. Late gadolinium enhancement imaging showed subtle hyperenhancement. Tissue characterization by means of parametric mapping revealed very low native T1 relaxation times and increased T2 relaxation times. In conclusion, the epipericardial mass showed fibrofatty inflammat

SUBMITTER: van den Heuvel FMA 

PROVIDER: S-EPMC8796805 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature