caa a22 4500 475753534 CHVBK 20180406123531.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s005950070088 doi (NATIONALLICENCE)springer-10.1007/s005950070088 Encapsulated pericardial fat necrosis treated by video-assisted thoracic surgery: Report of a case [Elektronische Daten] [Shuhei Inoue, Shozo Fujino, Noriaki Tezuka, Satoru Sawai, Keiichi Kontani, Jun Hanaoka, Masutaro Ichinose] 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 × 3.5 × 2.0cm, 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. Springer-Verlag, 2000 Pericardial fat necrosis nationallicence Pericardial fat pad nationallicence Encapsulated fat necrosis nationallicence Video-assisted thoracic surgery nationallicence Mediastinal tumor nationallicence Inoue Shuhei Second Department of Surgery, Shiga University of Medical Science, Seta, 520-2192, Otsu, Shiga, Japan aut Fujino Shozo Second Department of Surgery, Shiga University of Medical Science, Seta, 520-2192, Otsu, Shiga, Japan aut Tezuka Noriaki Second Department of Surgery, Shiga University of Medical Science, Seta, 520-2192, Otsu, Shiga, Japan aut Sawai Satoru Second Department of Surgery, Shiga University of Medical Science, Seta, 520-2192, Otsu, Shiga, Japan aut Kontani Keiichi Second Department of Surgery, Shiga University of Medical Science, Seta, 520-2192, Otsu, Shiga, Japan aut Hanaoka Jun Second Department of Surgery, Shiga University of Medical Science, Seta, 520-2192, Otsu, Shiga, Japan aut Ichinose Masutaro Second Department of Surgery, Shiga University of Medical Science, Seta, 520-2192, Otsu, Shiga, Japan aut Surgery Today Springer-Verlag 30/8(2000-08-01), 739-743 0941-1291 30:8<739 2000 30 595 https://doi.org/10.1007/s005950070088 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950070088 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Inoue Shuhei Second Department of Surgery, Shiga University of Medical Science, Seta, 520-2192, Otsu, Shiga, Japan aut NATIONALLICENCE 700 1- Fujino Shozo Second Department of Surgery, Shiga University of Medical Science, Seta, 520-2192, Otsu, Shiga, Japan aut NATIONALLICENCE 700 1- Tezuka Noriaki Second Department of Surgery, Shiga University of Medical Science, Seta, 520-2192, Otsu, Shiga, Japan aut NATIONALLICENCE 700 1- Sawai Satoru Second Department of Surgery, Shiga University of Medical Science, Seta, 520-2192, Otsu, Shiga, Japan aut NATIONALLICENCE 700 1- Kontani Keiichi Second Department of Surgery, Shiga University of Medical Science, Seta, 520-2192, Otsu, Shiga, Japan aut NATIONALLICENCE 700 1- Hanaoka Jun Second Department of Surgery, Shiga University of Medical Science, Seta, 520-2192, Otsu, Shiga, Japan aut NATIONALLICENCE 700 1- Ichinose Masutaro Second Department of Surgery, Shiga University of Medical Science, Seta, 520-2192, Otsu, Shiga, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/8(2000-08-01), 739-743 0941-1291 30:8<739 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer