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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)
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- Führende Autor*innen der Med Uni Graz
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Mangge Harald
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Schnedl Wolfgang
- Co-Autor*innen der Med Uni Graz
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Holasek Sandra Johanna
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Kalmar Peter
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Krause Robert
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- Abstract:
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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)
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Abdominal Pain - etiology
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Adult -
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Breath Tests -
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Diet, Carbohydrate-Restricted -
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Dietary Carbohydrates - metabolism
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Fructose - metabolism
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Gastrointestinal Absorption -
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Humans -
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Intestinal Diseases - complications
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Intestinal Diseases - diagnosis
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Lactose Intolerance - complications
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Lactose Intolerance - diagnosis
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Lactose Intolerance - diet therapy
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Lactose Intolerance - metabolism
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Malabsorption Syndromes - complications
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Malabsorption Syndromes - diagnosis
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Malabsorption Syndromes - diet therapy
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Malabsorption Syndromes - metabolism
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Male -
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Tomography, X-Ray Computed -
- Find related publications in this database (Keywords)
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Carbohydrate malabsorption
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Fructose malabsorption
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Lactose malabsorption
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Primary epiploic appendagitis
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Computed tomography