Encapsulated pericardial fat necrosis treated by video-assisted thoracic surgery: report of a case.

Abstract:

:A 55-year-old moderately obese man who was admitted to a local hospital following a traffic accident reported having experienced an episode of sharp and sudden pleuritic pain in the left anterior lower chest 2 days earlier. A computed tomographic scan on admission demonstrated a nonhomogeneous mass in the anterior left side of the chest, abutting the left cardiac margin, and a left-sided pleural effusion. As a mediastinal tumor was suspected, he was referred to our hospital for investigation and treatment. An exploratory thoracotomy was performed by video-assisted thoracic surgery (VATS) about 3 weeks later, which revealed a firm, yellowish mass on the oral side of the pericardial fat pad, adhering to the anterior chest wall. The mass was easily removed. The resected specimen consisted of a lobulated fragment of adipose tissue measuring 5.0 x 3.5 x 2.0 cm, and the final pathologic diagnosis was pericardial fat necrosis. The patient had an uneventful postoperative recovery and has remained free of symptoms for 10 months since his operation. Pericardial fat necrosis remains a rare clinical entity. Surgical excision by VATS achieves symptomatic cure and probably continues to be the treatment of choice because of the need to exclude a neoplasm in the differential diagnosis.

journal_name

Surg Today

journal_title

Surgery today

authors

Inoue S,Fujino S,Tezuka N,Sawai S,Kontani K,Hanaoka J,Ichinose M

doi

10.1007/s005950070088

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

739-43

issue

8

eissn

0941-1291

issn

1436-2813

pii

10.1007/s005950070088

journal_volume

30

pub_type

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