Epipericardial fat necrosis: a case report of an underdiagnosed disease.

Mariana L Matos, Paula C F Matias, Carlos M S P M Grijó, Rita B Gouveia, Marta F S Patacho, António J S Almeida
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Abstract

Introduction Epipericardial fat necrosis (EFN), first described in 1957, is an inflammatory process that affects the epipericardial fat. It is a benign and self-limited cause of acute chest pain. Chest computed tomography (CT) is the preferred imaging method to diagnose this condition. Its noninvasive treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) leads to the resolution of the symptoms. This case report illustrates the clinical presentation of this disease.
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