[Mediastinal fat necrosis]

Rev Mal Respir. 2015 Mar;32(3):279-82. doi: 10.1016/j.rmr.2014.05.008. Epub 2015 Feb 25.
[Article in French]

Abstract

Epicardial fat necrosis is a rare cause of benign chest pain. Its physiopathological mechanism is unknown. Diagnosis is easily performed through radiological investigations that show a round opacity of fat density limited by a dense pseudo-capsule in the anterior mediastinum, close to the heart.

Keywords: Adipose tissue; Chest pain; Douleur thoracique; Fat necrosis; Mediastinum; Médiastin; Nécrose du tissu adipeux; Tissu graisseux.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / complications
  • Accidental Falls
  • Adult
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • C-Reactive Protein / analysis
  • Chest Pain / etiology*
  • Diagnosis, Differential
  • Fat Necrosis / blood
  • Fat Necrosis / complications
  • Fat Necrosis / diagnostic imaging*
  • Fat Necrosis / drug therapy
  • Female
  • Fibrin Fibrinogen Degradation Products / analysis
  • Gastrointestinal Hemorrhage / complications
  • Humans
  • Leukocytosis / etiology
  • Mediastinal Diseases / blood
  • Mediastinal Diseases / complications
  • Mediastinal Diseases / diagnostic imaging*
  • Mediastinal Diseases / drug therapy
  • Pulmonary Embolism / diagnosis
  • Smoking
  • Tomography, X-Ray Computed*

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Fibrin Fibrinogen Degradation Products
  • fibrin fragment D
  • C-Reactive Protein