Epipericardial Fat Necrosis
Conditions
Keywords
Epipericardial Fat Necrosis, Fat Necrosis, Chest Pain, Pericardial Necrosis, Pleuritic pain
Brief summary
Epipericardial fat necrosis is a benign and self-limited condition that mainly curses with acute pleuritic chest pain and therefore must be an important differential diagnosis for patients in emergency department (ED). The knowledge of characteristics symptoms and correct management may avoid misdiagnosis or mistakes with other severe conditions like pulmonary embolism, pericarditis or acute coronary disease. Despite the importance of this entity, only fewer than 40 cases have been reported since 1957, when the condition was first described. We have seen a couple of similar cases in our institution during a short period of time, and we suspect that these numbers doesn't mean the real prevalence of epipericardial fat necrosis, so maybe this condition could be underdiagnosed. Instead, there isn't a study that tried to estimate an incidence of this entity.
Interventions
OTHERNo intervention. It is a retrospective study
No intervention. It is a retrospective study
Sponsors
Hospital Sirio-Libanes
Study design
Observational model
CASE_CROSSOVER
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* patients with imaging criteria of EFN (defined as a round fat attenuation lesion with peripheral stranding located in the epipericardial fat)
Exclusion criteria
* no
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Determinate the incidence of epipericardial fat necrosis | 18 months |
Secondary
| Measure | Time frame |
|---|---|
| Identify misdiagnosed cases of epipericardial fat necrosis | 18 months |
Other
| Measure | Time frame |
|---|---|
| Describe Clinical and Radiological data of epipericardial fat necrosis | 18 months |
Countries
Brazil
Outcome results
None listed