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Schnedl, WJ; Reittner, P; Enko, D; Mangge, H.
Food malabsorption/intolerance complaints triggered by primary epiploic appendagitis.
EXCLI J. 2019; 18: 746-749.
Doi: 10.17179/excli2019-1667
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- Leading authors Med Uni Graz
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Schnedl Wolfgang
- Co-authors Med Uni Graz
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Enko Dietmar
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Mangge Harald
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Reittner Pia
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- Abstract:
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Primary epiploic appendagitis (PEA) is an uncommon and self-limiting cause of acute or subacute abdominal complaints. The diagnosis of PEA, with its characteristic appearance, is made with computed tomography (CT). This report describes a patient seven months after a CT-confirmed diagnosis of PEA. Because of persistent and recurring, functional, non-specific abdominal complaints, food intolerance/malabsorption was investigated. Fructose malabsorption combined with histamine intolerance was found. A registered dietician helped develop an individually-tailored diet to address the problem. Within four days of beginning the fructose-free and histamine-reduced diet, the patient's complaints resolved. In conclusion, abdominal symptoms caused by fructose malabsorption and histamine intolerance may have been triggered by PEA in this patient.
Copyright © 2019 Schnedl et al.
- Find related publications in this database (Keywords)
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Primary epiploic appendagitis
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computed tomography
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fructose malabsorption
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histamine intolerance