Surgically treated mediastinal fat necrosis: an exception to conservative treatment.
Bruno Lima MoreiraHuylmer Lucena ChavesPablo Rydz Pinheiro SantanaNatalia Tibúrcio de AraújoCarlos Jogi ImaedaNayara Sinelli Simões da SilveiraCarlos Eduardo BacchiEdson MarchioriPublished in: Indian journal of thoracic and cardiovascular surgery (2021)
Mediastinal fat necrosis is an important differential diagnosis for acute chest pain in previously healthy patients. Imaging examination is essential to establish this diagnosis, as physical examination can be unhelpful and laboratory tests are non-specific. The treatment of choice is conservative, with non-steroidal anti-inflammatory drugs; surgery is reserved for a few selected cases. We present the case of a 37-year-old male patient with mediastinal fat necrosis, refractory to the conservative management and complicated by growing pleural effusion, which was treated surgically.
Keyphrases
- anti inflammatory drugs
- lymph node
- adipose tissue
- newly diagnosed
- end stage renal disease
- ejection fraction
- minimally invasive
- ultrasound guided
- liver failure
- prognostic factors
- peritoneal dialysis
- intensive care unit
- combination therapy
- acute coronary syndrome
- replacement therapy
- hepatitis b virus
- fluorescence imaging
- photodynamic therapy
- aortic dissection