Chest pain is a frequent, potentially life-threatening condition in the emergency department and requires immediate investigation and treatment. This case report highlights a rare differential diagnosis of pleuritic chest pain: epipericardial fat necrosis. A 29-year-old man presented with normal clinical evaluation, electrocardiography, point-of-care ultrasound, and unremarkable laboratory tests. The initial hypothesis was acute pleuritis. Chest radiography revealed peri-cardiac nonspecific findings, and computed tomography revealed epicardial fat necrosis. Despite the rarity of this condition, accurate diagnosis allows for better practices. An algorithm for a diagnostic approach is proposed.
CITATION STYLE
Accorsi, T. A. D., Paixão, M. R., Piorino, E. de M. S., Amicis, K. D., Köhler, K. F., & Souza, J. L. de. (2023). Epipericardial fat necrosis as a differential diagnosis of acute chest pain: a case report and algorithm proposal for diagnostic approach. Einstein (Sao Paulo, Brazil), 21, eRC0183. https://doi.org/10.31744/einstein_journal/2023RC0183
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