Caso Clínico/Case Report
Enfarte da gordura epipericárdica – A propósito de um caso clínico
Epipericardial fat necrosis – Case report
1 Interna do Complementar de Pneumologia, Serviço de Pneumologia 1, Serviço de Pneumologia I, Hospital de Santa Maria (HSM), Centro Hospitalar Lisboa Norte (CHLN), Lisboa
2 Assistente Graduado de Pneumologia, Serviço de Pneumologia 1, Serviço de Pneumologia I, Hospital de Santa Maria (HSM), Centro Hospitalar Lisboa Norte (CHLN), Lisboa
3 Assistente Graduado de Imagiologia, Serviço de Imagiologia, Serviço de Pneumologia I, Hospital de Santa Maria (HSM), Centro Hospitalar Lisboa Norte (CHLN), Lisboa
4 Chefe de Serviço, Serviço de Pneumologia 1, Serviço de Pneumologia I, Hospital de Santa Maria (HSM), Centro Hospitalar Lisboa Norte (CHLN), Lisboa
5 Director de Serviço, Serviço de Pneumologia 1, Serviço de Pneumologia I, Hospital de Santa Maria (HSM), Centro Hospitalar Lisboa Norte (CHLN), Lisboa
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"apellidos" => "Bugalho de Almeida" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">5</span>" "identificador" => "af0025" ] ] ] ] "afiliaciones" => array:5 [ 0 => array:3 [ "entidad" => "Interna do Complementar de Pneumologia, Serviço de Pneumologia 1, Serviço de Pneumologia I, Hospital de Santa Maria (HSM), Centro Hospitalar Lisboa Norte (CHLN), Lisboa" "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Assistente Graduado de Pneumologia, Serviço de Pneumologia 1, Serviço de Pneumologia I, Hospital de Santa Maria (HSM), Centro Hospitalar Lisboa Norte (CHLN), Lisboa" "etiqueta" => "2" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Assistente Graduado de Imagiologia, Serviço de Imagiologia, Serviço de Pneumologia I, Hospital de Santa Maria (HSM), Centro Hospitalar Lisboa Norte (CHLN), Lisboa" "etiqueta" => "3" "identificador" => "af0015" ] 3 => array:3 [ "entidad" => "Chefe de Serviço, Serviço de Pneumologia 1, Serviço de Pneumologia I, Hospital de Santa Maria (HSM), Centro Hospitalar Lisboa Norte (CHLN), Lisboa" "etiqueta" => "4" "identificador" => "af0020" ] 4 => array:3 [ "entidad" => "Director de Serviço, Serviço de Pneumologia 1, Serviço de Pneumologia I, Hospital de Santa Maria (HSM), Centro Hospitalar Lisboa Norte (CHLN), Lisboa" "etiqueta" => "5" "identificador" => "af0025" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Epipericardial fat necrosis – Case report" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-08-07" "fechaAceptado" => "2009-10-27" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570179" "palabras" => array:3 [ 0 => "Enfarte da gordura" 1 => "espaço cardiofrénico" 2 => "dor pleurítica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570178" "palabras" => array:3 [ 0 => "Fat necrosis" 1 => "cardiophrenic space" 2 => "pleuritic pain" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">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.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">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.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Face à sua natureza benigna e autolimitada e ao fraco conhecimento desta entidade, o tratamento aconselhado é apenas conservador.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (3): 507-512</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">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.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">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, surrounded 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.</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">Because of benign, self-limited nature of this entity, only conservative treatment is indicated.</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (3): 507-512</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pericardial fat necrosis: report of three cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R.C. Jackson" 1 => "O.T. 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Article information
ISSN: 08732159Original language: Portuguese
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