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Images in Thorax
Acute chest pain caused by pericardial fat necrosis
  1. D A F van den Heuvel1,
  2. H W van Es1,
  3. G A Cirkel2,
  4. W J W Bos2
  1. 1Department of Radiology, St Antonius Hospital, Nieuwegein, The Netherlands
  2. 2Department of Internal Medicine, St Antonius Hospital, Nieuwegein, The Netherlands
  1. Correspondence to Dr D A F van den Heuvel, MD, Koekoekslaan 1, 3430 EM, Nieuwegein, The Netherlands; d.van.den.heuvel{at}antonius.net

https://doi.org/10.1136/thx.2009.114637

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    A 55-year-old woman presented at the emergency department with acute pleuritic chest pain. The pain was located on the left side of the sternum. Her relevant medical history revealed gastro-oesophageal reflux disease. Physical examination, laboratory investigations and a plain chest radiograph were normal. The patient was thought to be suffering from gastro-oesophageal reflux disease and was treated with antacids. After …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.

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