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Schnedl, WJ; Kalmar, P; Mangge, H; Krause, R; Wallner-Liebmann, SJ.
Co-occurrence of carbohydrate malabsorption and primary epiploic appendagitis.
World J Gastroenterol. 2015; 21(35):10242-10245 Doi: 10.3748/wjg.v21.i35.10242 (- Case Report) [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Mangge Harald
Schnedl Wolfgang
Co-Autor*innen der Med Uni Graz
Holasek Sandra Johanna
Kalmar Peter
Krause Robert
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Abstract:
Unspecific abdominal complaints including bloating and irregular bowel movements may be caused by carbohydrate malabsorption syndromes, e.g., lactose and fructose malabsorption. These symptoms were investigated with hydrogen (H2) breath tests and correlated to carbohydrate malabsorption. During performing these H2-breath tests the patient presented with an acute, localized, non-migratory pain in the left lower abdominal quadrant. Primary epiploic appendagitis is a rare cause of abdominal acute or subacute complaints and diagnosis of primary epiploic appendagitis (PEA) is made when computed tomography reveals a characteristic lesion. We report on a patient with co-occurrence of lactose and fructose malabsorption, which was treated successfully with a diet free of culprit carbohydrates, with PEA recovering without medication or surgical treatment within few days. Since the abdominal unspecific symptoms had been present for months, they appeared not to be correlated to the acute localized abdominal pain, therefore we speculate on a random co-occurrence of combined carbohydrate malabsorption and PEA.
Find related publications in this database (using NLM MeSH Indexing)
Abdominal Pain - etiology
Adult -
Breath Tests -
Diet, Carbohydrate-Restricted -
Dietary Carbohydrates - metabolism
Fructose - metabolism
Gastrointestinal Absorption -
Humans -
Intestinal Diseases - complications
Intestinal Diseases - diagnosis
Lactose Intolerance - complications
Lactose Intolerance - diagnosis
Lactose Intolerance - diet therapy
Lactose Intolerance - metabolism
Malabsorption Syndromes - complications
Malabsorption Syndromes - diagnosis
Malabsorption Syndromes - diet therapy
Malabsorption Syndromes - metabolism
Male -
Tomography, X-Ray Computed -

Find related publications in this database (Keywords)
Carbohydrate malabsorption
Fructose malabsorption
Lactose malabsorption
Primary epiploic appendagitis
Computed tomography
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