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Schnedl, WJ; Lipp, RW; Wallner-Liebmann, SJ; Kalmar, P; Szolar, DH; Mangge, H.
Primary epiploic appendagitis and fructose malabsorption.
Eur J Clin Nutr. 2014; 68(12):1359-1361 Doi: 10.1038/ejcn.2014.109 (- Case Report) [OPEN ACCESS]
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Leading authors Med Uni Graz
Schnedl Wolfgang
Co-authors Med Uni Graz
Holasek Sandra Johanna
Kalmar Peter
Lipp Rainer
Mangge Harald
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Abstract:
Primary epiploic appendagitis (PEA) is a rare cause of abdominal acute or subacute complaints. Diagnosis of PEA is made when computed tomography (CT) reveals a characteristic lesion. We report on contrast-enhanced CT images of a patient with PEA and regression of inflammation and the reduction in size of the inflamed appendage over the time period of 4 months. Patients with PEA usually recover without medication or surgical treatment within a few weeks. However, due to continuing bloating and irregular bowel movements we investigated carbohydrate malabsorption and diagnosed a fructose malabsorption. Bloating and irregular bowel movements in this patient with PEA were correlated to carbohydrate malabsorption and were treated successfully with a diet free of culprit carbohydrates.
Find related publications in this database (using NLM MeSH Indexing)
Abdominal Pain - etiology
Adult -
Fructose - adverse effects
Humans -
Malabsorption Syndromes - diagnosis
Malabsorption Syndromes - pathology
Malabsorption Syndromes - therapy
Male -
Peritoneal Diseases - diagnosis
Peritoneal Diseases - pathology
Peritoneal Diseases - therapy
Tomography, X-Ray Computed -

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