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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
Doi: 10.7860/JCDR/2017/23434.9439
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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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Holasek Sandra Johanna
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Lackner Sonja
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Mangge Harald
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- Abstract:
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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)
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Abdominal pain
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Computed tomography
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Diamine oxidase
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Histamine
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Lactose