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Schnedl, WJ; Enko, D; Wallner-Liebmann, SJ; Lackner, S; Mangge, H.
Dissimilar Pain of Primary Epiploic Appendagitis and Malabsorption.
J Clin Diagn Res. 2017; 11(2):OD14-OD15 [OPEN ACCESS]
Web of Science PubMed PUBMED Central FullText FullText_MUG

 

Authors Med Uni Graz:
Enko Dietmar
Holasek Sandra Johanna
Lackner Sonja
Mangge Harald
Schnedl Wolfgang
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Abstract:
Primary Epiploic Appendagitis (PEA) is a rare cause of acute or subacute abdominal complaints and non-migratory pain. Usually the diagnosis of PEA is made when Computed Tomography (CT) reveals characteristic figures. Nonspecific abdominal complaints including diffuse abdominal pain may be caused by carbohydrate and/or protein malabsorption. We report a case of a patient with PEA who recovered without medication or surgical treatment within a few days. Eight months later, he was diagnosed with lactose- and histamine malabsorption and Helicobacter pylori infection. The malabsorption was treated successfully with an individually-tailored diet free of culprit triggers and the Helicobacter pylori infection was eradicated. A localized non-migratory abdominal pain caused by PEA needs to be differentiated from nonspecific abdominal complaints due to malabsorption and Helicobacter pylori infection.

Find related publications in this database (Keywords)
Abdominal pain
Computed tomography
Diamine oxidase
Histamine
Lactose
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