Enfarte da gordura epipericárdica – A propósito de um caso clínico
ResumoO enfarte da gordura cardiofrénica é uma condição benigna rara, de etiologia desconhecida, estando apenas descritos 20 casos na literatura em língua inglesa. Esta patologia deve fazer parte do diagnóstico diferencial duma toracalgia pleurítica associada a uma densidade paracardíaca ou a derram...
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| Published in | Revista portuguesa de pneumologia (English ed.) Vol. 16; no. 3; pp. 507 - 512 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Portuguese |
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Elsevier España
01.05.2010
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| Subjects | |
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| Abstract | ResumoO enfarte da gordura cardiofrénica é uma condição benigna rara, de etiologia desconhecida, estando apenas descritos 20 casos na literatura em língua inglesa. Esta patologia deve fazer parte do diagnóstico diferencial duma toracalgia pleurítica associada a uma densidade paracardíaca ou a derrame pleural na telerradiografia do tórax. O diagnóstico final é feito por tomografia computorizada (TC tórax) ou através da cirurgia com exame histológico.Os autores descrevem um caso de uma doente de 48 anos, internada por quadro de cansaço, tosse seca e de toracalgia no hemitórax esquerdo, com presença de derrame pleural na radiografia de tórax. A TC do tórax revelou um espessamento do pericárdio e densificação da gordura epipericárdica compatível com o diagnóstico de enfarte da gordura cardiofrénica epipericárdica. Houve uma boa evolução clínica, tendo alta medicada com tratamento sintomático.Face à sua natureza benigna e autolimitada e ao fraco conhecimento desta entidade, o tratamento aconselhado é apenas conservador. |
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| AbstractList | O enfarte da gordura cardiofrénica é uma condição benigna rara, de etiologia desconhecida, estando apenas descritos 20 casos na literatura em língua inglesa. Esta patologia deve fazer parte do diagnóstico diferencial duma toracalgia pleurítica associada a uma densidade paracardíaca ou a derrame pleural na telerradiografia do tórax. O diagnóstico final é feito por tomografia computorizada (TC tórax) ou através da cirurgia com exame histológico.
Os autores descrevem um caso de uma doente de 48 anos, internada por quadro de cansaço, tosse seca e de toracalgia no hemitórax esquerdo, com presença de derrame pleural na radiografia de tórax. A TC do tórax revelou um espessamento do pericárdio e densificação da gordura epipericárdica compatível com o diagnóstico de enfarte da gordura cardiofrénica epipericárdica. Houve uma boa evolução clínica, tendo alta medicada com tratamento sintomático.
Face à sua natureza benigna e autolimitada e ao fraco conhecimento desta entidade, o tratamento aconselhado é apenas conservador.
Epipericardial fat necrosis is an uncommon benign entity of unknown cause, with only 20 cases reported in the English-language literature. It should be remembered as a possible diagnosis in a person who presents with acute pleuritic chest pain and paracardiac density or pleural effusion on chest radiography (X-ray). The computed tomography (CT) or surgical approach allows the final diagnosis and characterization.
The authors describe a case of a 48-year-old woman, admitted to our department because of complaints of fatigue, cough and sudden pleuritic pain on thoracic left side. The chest X-ray showed mild/moderate left pleural effusion and CT scan revealed local slight thickening of pericardium and epipericardial fat, sur-rounded by thick rim of higher density in the left cardiophrenic space. This made the diagnosis of epipericardial fat necrosis. During hospitalization the patient remained stable and was discharged home with symptomatic relieve therapy.
Because of benign, self-limited nature of this entity, only conservative treatment is indicated. ResumoO enfarte da gordura cardiofrénica é uma condição benigna rara, de etiologia desconhecida, estando apenas descritos 20 casos na literatura em língua inglesa. Esta patologia deve fazer parte do diagnóstico diferencial duma toracalgia pleurítica associada a uma densidade paracardíaca ou a derrame pleural na telerradiografia do tórax. O diagnóstico final é feito por tomografia computorizada (TC tórax) ou através da cirurgia com exame histológico.Os autores descrevem um caso de uma doente de 48 anos, internada por quadro de cansaço, tosse seca e de toracalgia no hemitórax esquerdo, com presença de derrame pleural na radiografia de tórax. A TC do tórax revelou um espessamento do pericárdio e densificação da gordura epipericárdica compatível com o diagnóstico de enfarte da gordura cardiofrénica epipericárdica. Houve uma boa evolução clínica, tendo alta medicada com tratamento sintomático.Face à sua natureza benigna e autolimitada e ao fraco conhecimento desta entidade, o tratamento aconselhado é apenas conservador. |
| Author | Sotto-Mayor, R Correia, I Magalhães, V Peres Claro, I Campos, P Bugalho de Almeida, A |
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| Cites_doi | 10.2214/AJR.04.1989 10.2214/AJR.04.1310 10.1056/NEJM196808292790906 10.1016/S0002-9149(83)80098-8 10.1097/00004424-200502000-00007 10.1016/S0022-5223(19)42088-6 10.1016/S0735-1097(84)80194-1 10.1259/bjr.74.887.741062 10.1148/rg.271065089 10.1378/chest.97.6.1473 10.1016/S0022-5223(19)35743-5 10.1148/radiographics.12.1.1734482 10.1016/S0022-5223(19)40519-9 10.1016/S0096-5588(20)30480-3 10.1016/S0022-5223(20)31864-X 10.1159/000085375 |
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| References | Kylloenen (bib6) 1964; 128 Stephens, Kocab (bib17) 1988; 95 Behrendt, Scannell (bib8) 1968; 279 Pineda, Andreu, Cáceres (bib11) 2007; 27 Webster, Bahnson (bib18) 1974; 67 Inoue, Fujino, Tezuka (bib5) 2000; 30 Jackson, Clagett, McDonald (bib1) 1957; 33 Osadchy, Shapiro-Feinberg, Zissin (bib19) 2001; 74 Wychulis, Connolly, McGoon (bib9) 1971; 62 Rifkin, Isner, Carter (bib12) 1984; 3 Chester, Tully (bib10) 1959; 38 Wheeler, Shi, Beck (bib15) 2005; 40 Lee, Song (bib2) 2007; 188 Chipman, Aikens, Nonamaker (bib4) 1962; 86 Ghahremani, White, Hoff (bib20) 1992; 12 Pineda, Cáceres, Andreu (bib3) 2005; 185 Steven, Bensadoun (bib16) 2005; 72 Isner, Carter, Bankoff (bib14) 1982; 97 Bensard, St.Cyr, Johnston (bib7) 1990; 97 Isner, Carter, Roberts (bib13) 1983; 51 Steven (10.1016/S2173-5115(10)70055-5_bib16) 2005; 72 Pineda (10.1016/S2173-5115(10)70055-5_bib11) 2007; 27 Jackson (10.1016/S2173-5115(10)70055-5_bib1) 1957; 33 Bensard (10.1016/S2173-5115(10)70055-5_bib7) 1990; 97 Chipman (10.1016/S2173-5115(10)70055-5_bib4) 1962; 86 Behrendt (10.1016/S2173-5115(10)70055-5_bib8) 1968; 279 Kylloenen (10.1016/S2173-5115(10)70055-5_bib6) 1964; 128 Chester (10.1016/S2173-5115(10)70055-5_bib10) 1959; 38 Isner (10.1016/S2173-5115(10)70055-5_bib14) 1982; 97 Inoue (10.1016/S2173-5115(10)70055-5_bib5) 2000; 30 Webster (10.1016/S2173-5115(10)70055-5_bib18) 1974; 67 Lee (10.1016/S2173-5115(10)70055-5_bib2) 2007; 188 Wheeler (10.1016/S2173-5115(10)70055-5_bib15) 2005; 40 Stephens (10.1016/S2173-5115(10)70055-5_bib17) 1988; 95 Wychulis (10.1016/S2173-5115(10)70055-5_bib9) 1971; 62 Osadchy (10.1016/S2173-5115(10)70055-5_bib19) 2001; 74 Rifkin (10.1016/S2173-5115(10)70055-5_bib12) 1984; 3 Ghahremani (10.1016/S2173-5115(10)70055-5_bib20) 1992; 12 Isner (10.1016/S2173-5115(10)70055-5_bib13) 1983; 51 Pineda (10.1016/S2173-5115(10)70055-5_bib3) 2005; 185 |
| References_xml | – volume: 86 start-page: 237 year: 1962 end-page: 239 ident: bib4 article-title: Pericardial fat necrosis publication-title: Can Med Assoc J contributor: fullname: Nonamaker – volume: 279 start-page: 473 year: 1968 end-page: 475 ident: bib8 article-title: Pericardial fat necrosis: an unusual case of severe chest pain and thoracic “tumour” publication-title: N Engl J Med contributor: fullname: Scannell – volume: 51 start-page: 565 year: 1983 end-page: 569 ident: bib13 article-title: Supepicardial adipose tissue producing echocardiographic appearance of pericardial effusion Documentation by computed tomography and necropsy publication-title: Am J Cardiol contributor: fullname: Roberts – volume: 33 start-page: 723 year: 1957 end-page: 729 ident: bib1 article-title: Pericardial fat necrosis: report of three cases publication-title: J Thorac Surg contributor: fullname: McDonald – volume: 12 start-page: 59 year: 1992 end-page: 77 ident: bib20 article-title: Appendices epiploicae of the colon: radiologic and pathologic features publication-title: Radiographics contributor: fullname: Hoff – volume: 38 start-page: 62 year: 1959 end-page: 66 ident: bib10 article-title: Acute pericardial fat necrosis: report of a case publication-title: J Thorac Cardiovasc Surg contributor: fullname: Tully – volume: 128 start-page: 778 year: 1964 end-page: 780 ident: bib6 article-title: A case of pericardial fat necrosis simulating tumour of the lung publication-title: Acta Chir Scand contributor: fullname: Kylloenen – volume: 67 start-page: 430 year: 1974 end-page: 433 ident: bib18 article-title: Pericardial fat necrosis: case report and review publication-title: J thorac cardiovasc Surg contributor: fullname: Bahnson – volume: 95 start-page: 727 year: 1988 end-page: 729 ident: bib17 article-title: pericardial fat necrosis publication-title: J Thorac Cardiovasc Surg contributor: fullname: Kocab – volume: 74 start-page: 1062 year: 2001 end-page: 1064 ident: bib19 article-title: Strangulated small bowel obstruction related to chronic torsion of na epiploic appendix: CT findings publication-title: BJR contributor: fullname: Zissin – volume: 40 start-page: 97 year: 2005 end-page: 101 ident: bib15 article-title: Pericardial and visceral adipose tissues measured volumetrically with computed tomography are highly associated in type 2 diabetic families publication-title: Invest Radiol contributor: fullname: Beck – volume: 97 start-page: 1473 year: 1990 end-page: 1474 ident: bib7 article-title: Acute pleurítica chest pain and lung mass in an elderly woman publication-title: Chest contributor: fullname: Johnston – volume: 3 start-page: 1333 year: 1984 ident: bib12 article-title: Combined posterioranterior subepicardial fat stimulating the echocardiographic diagnosis of pericardial effusion publication-title: J Am Coll Cardiol contributor: fullname: Carter – volume: 188 start-page: w21 year: 2007 end-page: w24 ident: bib2 article-title: Calcified chronic pericardial fat necrosis in localized lipomatosis of pericardium publication-title: AJR contributor: fullname: Song – volume: 97 start-page: 373 year: 1982 end-page: 379 ident: bib14 article-title: Computer tomography in the diagnosis of pericardial heart disease publication-title: Am J Cardiol contributor: fullname: Bankoff – volume: 62 start-page: 294 year: 1971 end-page: 300 ident: bib9 article-title: Pericardial cysts, tumors and fat necrosis publication-title: J Thorac Cardiovasc Surg contributor: fullname: McGoon – volume: 27 start-page: 19 year: 2007 end-page: 32 ident: bib11 article-title: Lesions of the cardiophrenic space: findings at cross-sectional imaging publication-title: Radiographics contributor: fullname: Cáceres – volume: 72 start-page: 301 year: 2005 end-page: 303 ident: bib16 article-title: A mass in the right cardiophrenic angle publication-title: Respiration contributor: fullname: Bensadoun – volume: 185 start-page: 1234 year: 2005 end-page: 1236 ident: bib3 article-title: Epipericardial fat necrosis: radiologic diagnosis and follow-up publication-title: AJR contributor: fullname: Andreu – volume: 30 start-page: 739 year: 2000 end-page: 743 ident: bib5 article-title: Encapsulated pericardial fat necrosis treated by video-assited thoracic surgery: report of a case publication-title: Surg Yoday contributor: fullname: Tezuka – volume: 188 start-page: w21 year: 2007 ident: 10.1016/S2173-5115(10)70055-5_bib2 article-title: Calcified chronic pericardial fat necrosis in localized lipomatosis of pericardium publication-title: AJR doi: 10.2214/AJR.04.1989 contributor: fullname: Lee – volume: 185 start-page: 1234 year: 2005 ident: 10.1016/S2173-5115(10)70055-5_bib3 article-title: Epipericardial fat necrosis: radiologic diagnosis and follow-up publication-title: AJR doi: 10.2214/AJR.04.1310 contributor: fullname: Pineda – volume: 279 start-page: 473 year: 1968 ident: 10.1016/S2173-5115(10)70055-5_bib8 article-title: Pericardial fat necrosis: an unusual case of severe chest pain and thoracic “tumour” publication-title: N Engl J Med doi: 10.1056/NEJM196808292790906 contributor: fullname: Behrendt – volume: 51 start-page: 565 year: 1983 ident: 10.1016/S2173-5115(10)70055-5_bib13 article-title: Supepicardial adipose tissue producing echocardiographic appearance of pericardial effusion Documentation by computed tomography and necropsy publication-title: Am J Cardiol doi: 10.1016/S0002-9149(83)80098-8 contributor: fullname: Isner – volume: 40 start-page: 97 year: 2005 ident: 10.1016/S2173-5115(10)70055-5_bib15 article-title: Pericardial and visceral adipose tissues measured volumetrically with computed tomography are highly associated in type 2 diabetic families publication-title: Invest Radiol doi: 10.1097/00004424-200502000-00007 contributor: fullname: Wheeler – volume: 62 start-page: 294 year: 1971 ident: 10.1016/S2173-5115(10)70055-5_bib9 article-title: Pericardial cysts, tumors and fat necrosis publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(19)42088-6 contributor: fullname: Wychulis – volume: 3 start-page: 1333 year: 1984 ident: 10.1016/S2173-5115(10)70055-5_bib12 article-title: Combined posterioranterior subepicardial fat stimulating the echocardiographic diagnosis of pericardial effusion publication-title: J Am Coll Cardiol doi: 10.1016/S0735-1097(84)80194-1 contributor: fullname: Rifkin – volume: 74 start-page: 1062 year: 2001 ident: 10.1016/S2173-5115(10)70055-5_bib19 article-title: Strangulated small bowel obstruction related to chronic torsion of na epiploic appendix: CT findings publication-title: BJR doi: 10.1259/bjr.74.887.741062 contributor: fullname: Osadchy – volume: 27 start-page: 19 year: 2007 ident: 10.1016/S2173-5115(10)70055-5_bib11 article-title: Lesions of the cardiophrenic space: findings at cross-sectional imaging publication-title: Radiographics doi: 10.1148/rg.271065089 contributor: fullname: Pineda – volume: 97 start-page: 1473 year: 1990 ident: 10.1016/S2173-5115(10)70055-5_bib7 article-title: Acute pleurítica chest pain and lung mass in an elderly woman publication-title: Chest doi: 10.1378/chest.97.6.1473 contributor: fullname: Bensard – volume: 95 start-page: 727 year: 1988 ident: 10.1016/S2173-5115(10)70055-5_bib17 article-title: pericardial fat necrosis publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(19)35743-5 contributor: fullname: Stephens – volume: 86 start-page: 237 year: 1962 ident: 10.1016/S2173-5115(10)70055-5_bib4 article-title: Pericardial fat necrosis publication-title: Can Med Assoc J contributor: fullname: Chipman – volume: 30 start-page: 739 year: 2000 ident: 10.1016/S2173-5115(10)70055-5_bib5 article-title: Encapsulated pericardial fat necrosis treated by video-assited thoracic surgery: report of a case publication-title: Surg Yoday contributor: fullname: Inoue – volume: 97 start-page: 373 year: 1982 ident: 10.1016/S2173-5115(10)70055-5_bib14 article-title: Computer tomography in the diagnosis of pericardial heart disease publication-title: Am J Cardiol contributor: fullname: Isner – volume: 12 start-page: 59 year: 1992 ident: 10.1016/S2173-5115(10)70055-5_bib20 article-title: Appendices epiploicae of the colon: radiologic and pathologic features publication-title: Radiographics doi: 10.1148/radiographics.12.1.1734482 contributor: fullname: Ghahremani – volume: 67 start-page: 430 year: 1974 ident: 10.1016/S2173-5115(10)70055-5_bib18 article-title: Pericardial fat necrosis: case report and review publication-title: J thorac cardiovasc Surg doi: 10.1016/S0022-5223(19)40519-9 contributor: fullname: Webster – volume: 33 start-page: 723 year: 1957 ident: 10.1016/S2173-5115(10)70055-5_bib1 article-title: Pericardial fat necrosis: report of three cases publication-title: J Thorac Surg doi: 10.1016/S0096-5588(20)30480-3 contributor: fullname: Jackson – volume: 128 start-page: 778 year: 1964 ident: 10.1016/S2173-5115(10)70055-5_bib6 article-title: A case of pericardial fat necrosis simulating tumour of the lung publication-title: Acta Chir Scand contributor: fullname: Kylloenen – volume: 38 start-page: 62 year: 1959 ident: 10.1016/S2173-5115(10)70055-5_bib10 article-title: Acute pericardial fat necrosis: report of a case publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(20)31864-X contributor: fullname: Chester – volume: 72 start-page: 301 year: 2005 ident: 10.1016/S2173-5115(10)70055-5_bib16 article-title: A mass in the right cardiophrenic angle publication-title: Respiration doi: 10.1159/000085375 contributor: fullname: Steven |
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| SubjectTerms | cardiophrenic space dor pleurítica Enfarte da gordura espaço cardiofrénico Fat necrosis Internal Medicine pleuritic pain Pulmonary/Respiratory |
| Title | Enfarte da gordura epipericárdica – A propósito de um caso clínico |
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