Epipericardial fat necrosis: increasing the rate of diagnosis by disseminating knowledge within a single institution

Giassi, Karina de Souza; Costa, André Nathan; Kairalla, Ronaldo Adib; Filho, José Rodrigues

doi:10.1590/0100-3984.2016.0095

Cited by 7 publications

(6 citation statements)

References 5 publications

(7 reference statements)

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“… 3 , 4 In sum, more than 11 000 chest CT scans taken in the researchers ED were retrospectively reviewed having EFN in mind. 3 - 5 Around 426 and 926 scans were taken in the setting of acute atypical chest pain in 2014 and 2016, respectively. Among these, 11 and 20 scans were found positive for EFN, yielding an EFN-prevalence of 2.58% and 2.15%.…”

Section: Discussionmentioning

confidence: 99%

“…After an educational intervention among their radiologists, the authors found the number of EFN cases more than doubled. 5 …”

Section: Discussionmentioning

confidence: 99%

“… 3 , 4 Later, the same authors found an increase in presumed EFN diagnosis in their own clinic after disseminating knowledge of the condition and encouraging their radiologists to look for the features of EFN in chest computed tomography (CT) scans taken in the setting of pleuritic chest pain. 5 …”

Section: Introductionmentioning

confidence: 99%

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Epipericardial Fat Necrosis: A Case Report and a Review of the Literature

Mortensen

Lappegård

2020

Clin Med Insights Case Rep

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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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Section: Discussionmentioning

confidence: 99%

“…After an educational intervention among their radiologists, the authors found the number of EFN cases more than doubled. 5 …”

Section: Discussionmentioning

confidence: 99%

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Epipericardial Fat Necrosis: A Case Report and a Review of the Literature

Mortensen

Lappegård

2020

Clin Med Insights Case Rep

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“…The frequency of diagnosis has been shown to increase with improved awareness by radiologists. 4 The pathogenesis of epipericardial fat necrosis remains poorly elucidated. Proposed mechanisms have included torsion of a pedicle-like lesion, resulting in ischemia; and increased capillary pressures during a Valsalva manoeuvre, resulting in hemorrhage into the epipericardial fat.…”

Section: Discussionmentioning

confidence: 99%

Epipericardial fat necrosis: an uncommon self-limiting cause of pleuritic chest pain

Haq

Wilson

Manca

2019

CMAJ

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“…1,2 The number of reported cases has increased worldwide in recent years. 3 Giassi et al reported a 2.15% frequency of mediastinal fat necrosis among adult patients who underwent chest CT for the evaluation of atypical chest pain, with a 3:1 male predominance. 4 A few cases in pediatric patients have been reported in the medical literature.…”

mentioning

confidence: 99%